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GS*HS*52095*52095*260713*1307*1073904009*X*005010X279A1~
ST*270*000002358*005010X279A1~
BHT*0022*13*000002358*2607194*1307~
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*KIM*JIYEON****MI*161290037~
DMG*D8*19651028*F~
DTP*291*RD8*20260713-20261011~
EQ*42~
EQ*30~
SE*14*000002358~
GE*1*2358~
IEA*1*000002358~

