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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:15507005/31/2017FORM
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Start by reading the instructions provided on the survey form.
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Enter the date '020717' in the designated space on the form.
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Individuals or organizations conducting research or collecting data on the specified date '020717'.
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Participants who are required to fill out the survey with the specified date.
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Survey date 020717 refers to the specific date, July 2, 2017, designated for conducting a survey or collecting data.
The individuals or organizations who were part of the survey or data collection process on July 2, 2017, are required to file the survey for that particular date.
To fill out the survey for date 020717, individuals need to provide the requested information accurately and completely based on the guidelines provided for that specific survey.
The purpose of survey date 020717 is to gather specific data or information on a particular day (July 2, 2017) for analysis, research, or statistical purposes.
The information that must be reported on survey date 020717 may vary depending on the specific survey being conducted, but typically includes demographic data, responses to survey questions, and any other relevant information requested.
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