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GS*HS***260406*1504*1073904009*X*005010X279A1~
ST*270*000001988*005010X279A1~
BHT*0022*13*000001988*260496*1504~
HL*1**20*1~
NM1*PR*2*ANTHEM HEALTHKEEPERS CCC PLUS*****PI*600112~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*GHEBREMICHAEL*HAREGU****MI*VAQ736358390~
DMG*D8*19660101*F~
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EQ*42~
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SE*14*000001988~
GE*1*1988~
IEA*1*000001988~

