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ST*270*000001840*005010X279A1~
BHT*0022*13*000001840*2604100*0004~
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NM1*PR*2*UNITED HEALTH CARE INCL UMR*****PI*87726~
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NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
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NM1*IL*1*FARMER*ALICE****MI*994183619~
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