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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15549604/20/2017FORM

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What is survey date 020217?

The survey date 020217 refers to February 2, 2017.

Who is required to file survey date 020217?

Any individual or entity who conducted transactions or activities on the survey date 020217 is required to file.

How to fill out survey date 020217?

The survey date 020217 should be filled out accurately with all relevant information pertaining to the transactions or activities conducted on that day.

What is the purpose of survey date 020217?

The purpose of survey date 020217 is to gather information on the specific transactions or activities that took place on February 2, 2017.

What information must be reported on survey date 020217?

All details of the transactions or activities, including amounts, parties involved, and nature of the transactions, must be reported on survey date 020217.

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