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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:15G62103/21/2017FORM

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What is this visit was for?

This visit is for conducting a compliance audit.

Who is required to file this visit was for?

The company's designated compliance officer is required to file this visit.

How to fill out this visit was for?

The visit should be filled out with accurate and detailed information about the audit findings.

What is the purpose of this visit was for?

The purpose of this visit is to ensure that the company is in compliance with all relevant regulations and laws.

What information must be reported on this visit was for?

All findings of the compliance audit must be reported, along with any corrective actions taken by the company.

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