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GS*HS*52095*52095*251013*1310*1487113239*X*005010X279A1~
ST*270*000027578*005010X279A1~
BHT*0022*13*000027578*2510286*1310~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE COMMERCIAL - PT SAFETY ASSESSMENT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*HUGHES*MARCUS****MI*91282023~
DMG*D8*19770203*M~
DTP*291*RD8*20251013-20260111~
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GE*1*27578~
IEA*1*000027578~