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GS*HS*Gil Messick*Gil Messick*260106*1201*1487113239*X*005010X279A1~
ST*270*000038641*005010X279A1~
BHT*0022*13*000038641*260106*1201~
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HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*FERGUSON*FREDA****MI*58107177400~
DMG*D8*19591031*F~
DTP*291*RD8*20260106-20260406~
EQ*42~
EQ*30~
SE*14*000038641~
GE*1*38641~
IEA*1*000038641~