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GS*HS*52095*52095*260505*1105*1073904009*X*005010X279A1~
ST*270*000002176*005010X279A1~
BHT*0022*13*000002176*2605125*1105~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*BUSSEY*ELLEN****MI*02055582~
DMG*D8*19421217*F~
DTP*291*RD8*20260505-20260803~
EQ*42~
EQ*30~
SE*14*000002176~
GE*1*2176~
IEA*1*000002176~

