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PRINTED: 05/24/2023 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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A paper follow-up is a document submitted after an initial report to provide additional information or updates.

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The purpose of a paper follow-up is to provide additional information, updates, or corrections to a previously submitted report.

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