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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:15G73605/12/2017FORM
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Enter your personal information including your name, contact details, and any other required information.
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Look for the date field and locate the section labeled 'Survey Date.'
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Enter the date 031417 in the correct format, which is MMDDYY.
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What is survey date 031417?
Survey date 031417 refers to a specific date, March 14, 2017, which was designated for conducting a survey related to a particular data collection or assessment process.
Who is required to file survey date 031417?
Entities or individuals that were part of the survey population identified for collection on survey date 031417 are required to file.
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To fill out survey date 031417, participants should follow the provided guidelines, complete the required sections accurately, and submit the form by the specified deadline.
What is the purpose of survey date 031417?
The purpose of survey date 031417 is to gather specific information for analysis, policy-making, or program development pertinent to the involved demographic.
What information must be reported on survey date 031417?
Participants must report demographic data, responses to survey questions specific to the assessment, and any other required information indicated in the filing instructions.
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