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GS*HS*15004*15004*250908*1309*1073904009*X*005010X279A1~
ST*270*000000562*005010X279A1~
BHT*0022*13*000000562*2509251*1309~
HL*1**20*1~
NM1*PR*2*MEDICARE PPS*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*YOUNG*VANESSA****MI*4PT9FY5WU57~
DMG*D8*19550408*M~
DTP*291*RD8*20250908-20251207~
EQ*42~
EQ*30~
SE*14*000000562~
GE*1*562~
IEA*1*000000562~

