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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:15C000109701/09/2018FORM

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002663 refers to a specific form or report required by a regulatory authority, and 'dates 101717 to' typically indicates a reporting period starting from October 17, 2017.

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The purpose of 002663 is to collect and report specific information to the regulatory authority for compliance and monitoring purposes.

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