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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:15516502/04/2016FORM

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Start by opening the survey form.

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Look for the section where it asks for the date.

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Enter the date January 4 in the specified format (e.g., mm/dd/yyyy).

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What is survey dates january 4?

It is a specific date for conducting surveys.

Who is required to file survey dates january 4?

Any individual or organization that needs to collect data on that day.

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Fill out the survey form with accurate information and submit it before the deadline.

What is the purpose of survey dates january 4?

To gather specific data on that particular day for analysis or research purposes.

What information must be reported on survey dates january 4?

Any relevant information requested on the survey form related to the specific date.

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