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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:15C000100701/25/2013FORM
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What is q0000 this visit was?
This question refers to the purpose or reason of the visit.
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Any individual or entity who conducted the visit may be required to file this information.
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To fill out q0000, provide details about the purpose, date, and outcome of the visit.
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