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BHT*0022*13*000044209*2604110*0704~
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NM1*PR*2*KAISER PERMANENTE COMMERCIAL - PT SAFETY ASSESSMENT*****PI*10403~
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HL*3*2*22*0~
NM1*IL*1*WASHINGTON*BENJAMIN****MI*821084771~
DMG*D8*19660917*M~
DTP*291*RD8*20260420-20260719~
EQ*42~
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IEA*1*000044209~