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GS*HS*52095*52095*260608*1306*1487113239*X*005010X279A1~
ST*270*000046340*005010X279A1~
BHT*0022*13*000046340*2606159*1306~
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*WOLFE*LAURIE****MI*49200880~
DMG*D8*19621110*F~
DTP*291*RD8*20260608-20260906~
EQ*42~
EQ*30~
SE*14*000046340~
GE*1*46340~
IEA*1*000046340~