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GS*HS*60054*60054*260608*1106*1073904009*X*005010X279A1~
ST*270*000002021*005010X279A1~
BHT*0022*13*000002021*2606159*1106~
HL*1**20*1~
NM1*PR*2*AETNA BETTER HEALTH OF VA*****PI*600117~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*HOANG*THINH****MI*059175687011~
DMG*D8*19331209*F~
DTP*291*RD8*20260608-20260906~
EQ*42~
EQ*30~
SE*14*000002021~
GE*1*2021~
IEA*1*000002021~

