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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES02/01/2012FORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 09380391STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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What is f0000 this visit was?
f0000 is a form used to report visits and provide specific information about the visit.
Who is required to file f0000 this visit was?
The person or entity who conducted the visit is required to file form f0000.
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Form f0000 can be filled out online or by mail, following the instructions provided on the form.
What is the purpose of f0000 this visit was?
The purpose of form f0000 is to document and report details of a specific visit.
What information must be reported on f0000 this visit was?
Information such as date of visit, purpose of visit, persons involved, and any relevant observations must be reported on form f0000.
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