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GS*HS*RP016*RP016*250820*1808*1487113239*X*005010X279A1~
ST*270*000031142*005010X279A1~
BHT*0022*13*000031142*2508232*1808~
HL*1**20*1~
NM1*PR*2*ALTERWOOD HEALTH - EPISODIC*****PI*RP016~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
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NM1*IL*1*MCKNIGHT*BETTIE****MI*AA00014731~
DMG*D8*19440930*F~
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IEA*1*000031142~