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				|  | Issue Date FY: 2023  ( Subtotal = -$5,029 ) | 
				|  | 2023 | 2021 | STATE OF ALASKA DEPARTMENT OF HEALTH | 350 MAIN ST | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 6 | 1 | 11/14/2022 | NEW | -$5,029 | 
				|  | 
				|  | Issue Date FY: 2022  ( Subtotal = $99,360 ) | 
				|  | 2022 | 2022 | Health and Social Services, Alaska Department of | 350 MAIN ST RM 427 | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 4 | 1 | 12/1/2021 | NEW | $40,328 | 
				|  | 2022 | 2022 | Health and Social Services, Alaska Department of | 350 MAIN ST RM 427 | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 5 | 1 | 2/10/2022 | NEW | $59,032 | 
				|  | 
				|  | Issue Date FY: 2021  ( Subtotal = $636,155 ) | 
				|  | 2021 | 2021 | Health and Social Services, Alaska Department of | 350 MAIN ST RM 427 | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 0 | 1 | 10/20/2020 | NEW | $122,250 | 
				|  | 2021 | 2021 | Health and Social Services, Alaska Department of | 350 MAIN ST RM 427 | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 3 | 1 | 8/23/2021 | NEW | $201,739 | 
				|  | 2021 | 2021 | Health and Social Services, Alaska Department of | 350 MAIN ST RM 427 | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 2 | 1 | 7/2/2021 | NEW | $189,916 | 
				|  | 2021 | 2021 | Health and Social Services, Alaska Department of | 350 MAIN ST RM 427 | JUNEAU | AK | 99801 | JUNEAU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 1 | 1 | 1/31/2021 | NEW | $122,250 | 
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