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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:15G73009/18/2012FORM
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Facility number 011241 is a unique identifier assigned to a specific facility for regulatory and reporting purposes.
Entities operating the facility associated with number 011241 are required to file it.
To fill out facility number 011241, you need to provide relevant details including facility name, address, and compliance information in the designated form.
The purpose of facility number 011241 is to track and manage regulatory compliance and reporting for the specific facility.
Information required includes operational details, compliance status, environmental impact data, and safety records.
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