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GS*HS*52095*52095*260126*1101*1073904009*X*005010X279A1~
ST*270*000001527*005010X279A1~
BHT*0022*13*000001527*260126*1101~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE MEDICARE ADVANTAGE 1*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*HALPERN*SOPHIA****MI*29124887~
DMG*D8*19540821*F~
DTP*291*RD8*20260126-20260426~
EQ*42~
EQ*30~
SE*14*000001527~
GE*1*1527~
IEA*1*000001527~

