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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:15515902/21/2017FORM
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What is this visit was for?
This visit is for a compliance audit.
Who is required to file this visit was for?
All employees in the department are required to file this visit.
How to fill out this visit was for?
The visit form must be completed with accurate information.
What is the purpose of this visit was for?
The purpose of the visit is to ensure compliance with regulations.
What information must be reported on this visit was for?
All activities and transactions related to the visit must be reported.
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