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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:15526204/14/2022FORM
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State licensure survey is a questionnaire or form that collects information about an individual's professional licensure status in a particular state.
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Individuals who hold professional licenses in a specific state are required to file the state licensure survey.
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State licensure survey can typically be filled out online through a state licensing board's website or by submitting a paper form via mail or in person.
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The purpose of state licensure survey is to track and monitor the licensure status of professionals practicing in a particular state.
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State licensure survey typically requires information such as the individual's name, license number, expiration date, and any disciplinary actions.
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