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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:15003705/03/2012FORM

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The 005036 survey date 4-911-12 refers to a specific survey or reporting requirement established by regulatory authorities, typically to collect data on a particular subject defined by the survey.

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Individuals or organizations that meet specific criteria set forth by the regulatory authority related to the subject of the survey are required to file the 005036 survey.

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The purpose of the 005036 survey is to collect data for analysis, ensure compliance with regulations, and facilitate informed decision-making by authorities based on the collected information.

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The information required generally includes demographic data, specific metrics related to the survey subject, and any other details as specified in the survey guidelines.

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