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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:15C000102205/29/2018FORM
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What is provider number 15c0001022?
{"provider_number":"15c0001022"}
Who is required to file provider number 15c0001022?
{"required_filers":["Medical providers"]}
How to fill out provider number 15c0001022?
{"filling_instructions":"Follow the guidelines provided by the governing body."}
What is the purpose of provider number 15c0001022?
{"purpose":"To track services provided by medical providers."}
What information must be reported on provider number 15c0001022?
{"reported_information":"Service details, patient information, and fees."}
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