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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:15510906/29/2015FORM
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Start by addressing the recipient of your complaint. This can be the company or organization you are filing the complaint against.
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Clearly state the purpose of your complaint and provide any necessary details or explanations.
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Anyone who has encountered a problem or dissatisfaction with a product, service, or interaction with a company or organization can file a complaint using the reference number in00173996.
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The complaint in00173996 is a formal statement expressing dissatisfaction with a product or service.
The customer who received the product or service and is not satisfied with it is required to file the complaint in00173996.
To fill out complaint in00173996, the customer needs to provide their contact information, details of the product or service, and a description of the issue.
The purpose of complaint in00173996 is to bring attention to any issues with the product or service and to seek resolution or compensation.
The customer must report their contact information, details of the product or service, the issue they are facing, and any relevant documentation or evidence.
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