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GS*HS*10000*10000*251217*1512*1487113239*X*005010X279A1~
ST*270*000037579*005010X279A1~
BHT*0022*13*000037579*2512351*1512~
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NM1*PR*2*MEDICARE PPS*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*HILL*CYNTHIA****MI*7Q81AF6XD19~
DMG*D8*19630417*F~
DTP*291*RD8*20251217-20260317~
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IEA*1*000037579~