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05/03/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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The survey date 040623 refers to the date of the survey conducted on June 23, 2004.
All individuals or entities who were part of the survey on June 23, 2004 are required to file survey date 040623.
To fill out survey date 040623, individuals or entities must provide the requested information related to the survey conducted on June 23, 2004.
The purpose of survey date 040623 is to collect data and information from the survey conducted on June 23, 2004 for analysis and reporting purposes.
The information that must be reported on survey date 040623 includes demographic data, responses to survey questions, and any relevant observations made during the survey conducted on June 23, 2004.
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