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GS*HS*SKAZ0*SKAZ0*250924*0209*1457998957*X*005010X279A1~
ST*270*000000168*005010X279A1~
BHT*0022*13*000000168*2509267*0209~
HL*1**20*1~
NM1*PR*2*AHCCCS*****PI*SKAZ0~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*FULWILDER*JOSEPH****MI*A24442704~
DMG*D8*19960910*M~
DTP*291*RD8*20250924-20251223~
EQ*42~
EQ*30~
SE*14*000000168~
GE*1*168~
IEA*1*000000168~

