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04/19/2023PRINTED:
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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In00403004 - federalstate is a form used to report complaints related to federal and state regulations or laws.
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The complaint in00403004 - federalstate form must include details of the complaint, relevant regulations or laws, dates of incidents, and any supporting documentation.
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