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GS*HS*10000*10000*260709*1707*1487113239*X*005010X279A1~
ST*270*000046353*005010X279A1~
BHT*0022*13*000046353*2607190*1707~
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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*MOORE*BRUCE****MI*3JE9D57CE45~
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IEA*1*000046353~