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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391 (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION 07/15/2011 FORM

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What is survey date 062711?

The survey date 062711 refers to June 27, 2011.

Who is required to file survey date 062711?

Any individual or entity who was instructed to complete the survey on June 27, 2011.

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To fill out the survey date 062711, you must follow the instructions provided by the surveying organization.

What is the purpose of survey date 062711?

The purpose of the survey date 062711 is to gather specific information for analysis or research purposes.

What information must be reported on survey date 062711?

The information required to be reported on survey date 062711 will vary depending on the specific survey instructions.

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