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ST*270*000028832*005010X279A1~
BHT*0022*13*000028832*2510279*1610~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE COMMERCIAL - PT SAFETY ASSESSMENT*****PI*10403~
HL*2*1*21*1~
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HL*3*2*22*0~
NM1*IL*1*FUENTES*ANGEL****MI*37205608~
DMG*D8*19521128*M~
DTP*291*RD8*20251006-20260104~
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IEA*1*000028832~