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PRINTED: 1/8/2020 FORM APPROVEDState of GA, Healthcare Facility Regulation Division STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:0840000A(X2) MULTIPLE

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Initial comments are based on the original information provided at the beginning of a process or project.

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The purpose of initial comments based on is to gather input, feedback, and perspectives from stakeholders at an early stage of a process.

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