Summary Statement of Deficiencies D0000 No deficiencies were found at the survey of October 2, 2018 and the above physician office (POL) was found to be in compliance with the requirements of 42 CFR 493. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --
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