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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:15G58009/27/2013FORM

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2. - Start by entering the patient's information, including their name, date of birth, and contact details.
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4. - Record any medical history or previous diagnoses that are relevant to this visit.
5. - Document the examination findings, including vital signs, physical examination results, and any tests or procedures performed.
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The w000000 form refers to a specific tax document used for reporting income, expenses, or other financial information.

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