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01/17/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Survey date 123019 refers to the date December 30, 2019.
All individuals or entities who meet the criteria for the survey are required to file survey date 123019.
Survey date 123019 can be filled out online through the designated platform or submitted physically through mail.
The purpose of survey date 123019 is to gather specific information or data as required by regulatory authorities.
The information required to be reported on survey date 123019 may include financial details, demographic information, or any other relevant data.
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