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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES11/03/2011FORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 09380391STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Survey dates on October 3 refer to a specific time frame designated for conducting surveys related to regulatory or statistical data collection.
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