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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:15566103/03/2017FORM

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Survey date 122716 refers to a specific survey conducted on December 27, 2016, related to data collection for specific purposes.

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The purpose of survey date 122716 is to collect data that aids in assessing certain metrics essential for regulatory compliance or research within a specific industry.

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The information that must be reported includes specific metrics, operational data, and any relevant statistics as outlined in the survey instructions.

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