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GS*HS*52095*52095*260223*0802*1487113239*X*005010X279A1~
ST*270*000041387*005010X279A1~
BHT*0022*13*000041387*260254*0802~
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*HOLMES*ORLANDO****MI*13135372~
DMG*D8*19811121*M~
DTP*291*RD8*20260223-20260524~
EQ*42~
EQ*30~
SE*14*000041387~
GE*1*41387~
IEA*1*000041387~