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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15568905/25/2012FORM
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Survey date 050112 refers to a specific date or period relevant to a particular survey or data collection initiative, identified by the code 050112.
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