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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:15535506/09/2017FORM
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Survey date 050917 refers to the date of a specific survey or questionnaire that was conducted on May 9, 2017.
The individuals or entities who participated in the survey on May 9, 2017 are required to file the survey date 050917.
To fill out survey date 050917, you would need to provide the requested information accurately and completely as per the instructions provided.
The purpose of survey date 050917 is to gather specific data or information for analysis or research purposes.
The information that must be reported on survey date 050917 would depend on the specifics of the survey or questionnaire conducted on May 9, 2017.
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