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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:15G32803/03/2015FORM

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What is dates of survey 12615?

The dates of survey 12615 refer to the specific time period during which a survey was conducted for data collection purposes.

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All individuals or entities who were involved in the survey and have been assigned the responsibility of reporting the data are required to file dates of survey 12615.

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Dates of survey 12615 can be filled out by entering the start date and end date of the survey period in the designated fields.

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The purpose of dates of survey 12615 is to accurately record the time frame during which the survey data was collected for reference and analysis.

What information must be reported on dates of survey 12615?

The information to be reported on dates of survey 12615 includes the start date and end date of the survey period.

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