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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:15558006/08/2017FORM
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The f000000 state licensure survey is a form that collects information about professional licenses held by individuals or businesses in a specific state.
Individuals or businesses who hold professional licenses in a specific state are required to file the f000000 state licensure survey.
To fill out the f000000 state licensure survey, individuals or businesses need to provide information about the professional licenses they hold, including license numbers, expiration dates, and any disciplinary actions.
The purpose of the f000000 state licensure survey is to ensure that individuals and businesses holding professional licenses are in compliance with state regulations and requirements.
Information such as license numbers, expiration dates, disciplinary actions, and any updates to contact information must be reported on the f000000 state licensure survey.
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