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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:15523204/18/2012FORM
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What is f0000 this visit was?
f0000 is a form used to report visit information.
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f0000 should be filled out with accurate visit details such as date, time, purpose, and any other requested information.
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