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GS*HS*Gil Messick*Gil Messick*260205*1302*1487113239*X*005010X279A1~
ST*270*000040551*005010X279A1~
BHT*0022*13*000040551*260236*1302~
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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*COOK*CHANTEL****MI*11342985280~
DMG*D8*19760906*F~
DTP*291*RD8*20260205-20260506~
EQ*42~
EQ*30~
SE*14*000040551~
GE*1*40551~
IEA*1*000040551~