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GS*HS*15004*15004*260417*1004*1073904009*X*005010X279A1~
ST*270*000002130*005010X279A1~
BHT*0022*13*000002130*2604107*1004~
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*FILIPPONE*DOROTHY****MI*1CE4TW9YE94~
DMG*D8*19391113*F~
DTP*291*RD8*20260417-20260716~
EQ*42~
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GE*1*2130~
IEA*1*000002130~

