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GS*HS*10000*10000*260605*1006*1487113239*X*005010X279A1~
ST*270*000046173*005010X279A1~
BHT*0022*13*000046173*2606156*1006~
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HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*POVOLOTSKIY*YULIY****MI*8TY8Q56EC58~
DMG*D8*19300729*M~
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GE*1*46173~
IEA*1*000046173~