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07/31/2019PRINTED: 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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Complaint in00299920 is a formal allegation that has been verified and supported by evidence.
Any individual or organization that has knowledge of the issue or violation is typically required to file this complaint.
To fill out the complaint, you must provide detailed information about the incident, including date, location, individuals involved, and any supporting evidence.
The purpose of this complaint is to formally report a verified issue so that appropriate action can be taken to address it.
The report must include the complainant's details, a description of the incident, relevant dates, and any evidence or documentation supporting the complaint.
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