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GS*HS*52095*52095*260527*0705*1487113239*X*005010X279A1~
ST*270*000046338*005010X279A1~
BHT*0022*13*000046338*2605147*0705~
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*KUTZ*KEVIN****MI*471102404~
DMG*D8*19610718*M~
DTP*291*RD8*20260527-20260825~
EQ*42~
EQ*30~
SE*14*000046338~
GE*1*46338~
IEA*1*000046338~