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BHT*0022*13*000000168*2509267*1109~
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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*RPHC12377~
DMG*D8*19960910*M~
DTP*291*RD8*20250924-20251223~
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IEA*1*000000168~