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PRINTED: 07/19/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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061217 refers to June 12, 2017, and it was the date when a certain event or activity took place.
The individual or entity responsible for the event or activity conducted on 061217 is required to file.
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The purpose of the conducted on 061217 form is to document and report on the specific event or activity that took place on June 12, 2017.
The conducted on 061217 form may require details such as the nature of the event, location, attendees, and any outcomes or results.
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