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ST*270*000045986*005010X279A1~
BHT*0022*13*000045986*2605138*1505~
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NM1*PR*2*KAISER PERMANENTE COMMERCIAL - PT SAFETY ASSESSMENT*****PI*10403~
HL*2*1*21*1~
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HL*3*2*22*0~
NM1*IL*1*HARVIN*DEANNA****MI*88233361~
DMG*D8*19650602*F~
DTP*291*RD8*20260518-20260816~
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IEA*1*000045986~