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ST*270*000034249*005010X279A1~
BHT*0022*13*000034249*2511311*1111~
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NM1*PR*2*KAISER PERMANENTE COMMERCIAL - PT SAFETY ASSESSMENT*****PI*10403~
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NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*KINGSLEY*KATHY****MI*681295030~
DMG*D8*19630917*F~
DTP*291*RD8*20251107-20260205~
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IEA*1*000034249~