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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:15502205/11/2017FORM
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What is this visit was for?
This visit was for a business audit.
Who is required to file this visit was for?
The business owner or designated representative must file this visit.
How to fill out this visit was for?
This visit can be filled out online through the designated portal or in person at the business location.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with business regulations and tax laws.
What information must be reported on this visit was for?
Information such as financial records, employee records, and business operations must be reported.
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