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ST*270*000040662*005010X279A1~
BHT*0022*13*000040662*260240*1302~
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*BROWN*SHEILA****MI*011093452~
DMG*D8*19490312*F~
DTP*291*RD8*20260209-20260510~
EQ*42~
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IEA*1*000040662~