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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTION07/27/2011FORM APPROVEDIDENTIFICATION
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The purpose is to gather data and information about healthcare facilities for regulatory purposes.
Information such as facility details, services offered, and patient demographics must be reported.
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