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PRINTED: 02/02/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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To fill out 200 medical center drive, follow these steps:
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Start by writing the street number '200' in the appropriate field.
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In the street name field, write 'Medical Center'.
04
In the address line 2 field, if available, add any additional information such as a suite number or floor level.
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Write 'Drive' in the street type field.
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Proceed by filling out the city, state, and ZIP code fields with the correct information.
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Finally, double-check the entered address to ensure accuracy before submitting the form.

Who needs 200 medical center drive?

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The people or organizations who may need 200 Medical Center Drive could include:
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- Medical professionals or doctors who work at a medical center located at that address.
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- Patients who have appointments or need medical services at the medical center.
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- Delivery services or couriers who need to deliver goods or documents to the medical center.
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- Visitors or individuals attending events, meetings, or conferences held at the medical center.
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- Any other individuals or entities who have a valid reason to visit or interact with the medical center.
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200 Medical Center Drive is a physical address.
The organization or individual associated with the address.
The form should be completed with accurate and complete information.
To provide a specific location for medical services or facilities.
Information related to the medical center or services provided at the location.
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