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12/21/2022PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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Complaint in00387049 refers to a specific formal grievance or report filed regarding a particular issue or violation as defined by the relevant governing body or organization.
Individuals or entities affected by the issue represented in complaint in00387049, or those who have relevant information regarding the matter, are required to file the complaint.
To fill out complaint in00387049, obtain the official complaint form, provide accurate personal and contact information, describe the issue in detail, and submit any supporting documents.
The purpose of complaint in00387049 is to formally register an issue or violation with the relevant authority so that it can be investigated and resolved appropriately.
The complaint must include the complainant's details, a clear description of the issue, relevant dates, witnesses, if any, and any supporting evidence.
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