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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:15523405/17/2017FORM
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The survey date 040717 refers to the specific date of conducting a survey, which in this case is on April 7, 2017.
The entities or individuals who conducted the survey on April 7, 2017 are required to file the survey date 040717.
To fill out survey date 040717, the entities or individuals should report all relevant information based on the guidelines provided for the survey conducted on April 7, 2017.
The purpose of survey date 040717 is to gather specific data or information on a particular date for analysis, research, or decision-making purposes.
The information to be reported on survey date 040717 would depend on the nature and scope of the survey conducted on April 7, 2017. It could include demographic data, responses to survey questions, or other relevant data points.
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