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GS*HS*SKAZ0*SKAZ0*260630*1806*1457998957*X*005010X279A1~
ST*270*000047068*005010X279A1~
BHT*0022*13*000047068*2606181*1806~
HL*1**20*1~
NM1*PR*2*UHC/AHCCCS (UNITS)*****PI*03432~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*MARTINEZ*JOSE****MI*A28860474~
DMG*D8*19741228*M~
DTP*291*RD8*20260630-20260928~
EQ*42~
EQ*30~
SE*14*000047068~
GE*1*47068~
IEA*1*000047068~

