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N1*TV*Policy Studies, Inc.*FI*123456789**~
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N3**218571582~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*357*D8* 34~
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N3**218532101~
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N4*2402 east Southcross boulevard**San Antonio**CY*TX*~
DMG*D8*78223*: 18: 0: 0: 20892: 20:ESCM NORTH LLC:0336017:523F48A2-44DA-431B-A3E6-7A04F0BE0142:4017 14th street::Plano:TX:75074:::::::::::::::::::PRIORITY PARTNERS:HC:P08:P:Bexar:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/01/09 22*03**21.550*34****~
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N3**220942586~
N4*1015 Highway 80**San Marcos**CY*TX*~
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N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/03/21 22*03**21.550*34****~
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N3*JR  *216339638~
N4*1521 interstate35 north**Bellmead**CY*TX*~
DMG*D8*76705*: 126: 0: 0: 60902: 20:CLINICAL ASSOCIATES  P A:2708710:950F0D3B-2BD0-4B1B-9181-BEF7F821D855:3000 Grapevine Mills parkway::Grapevine:TX:76051::::::::::::::::::4438726131:TEXAS PHYSICIANS CARE:HC:F05:U:McLennan:U::Dialysis Facilities:********~
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DTP*356*D8* 39~
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NM1*IL*1* 3*2009/03/01 22*03**21.550*34****~
PER*IP**EM*CARR*HP*TAYLOR*CP**~
N3**219514417~
N4*871 highway 377 north**Whitesboro**CY*TX*~
DMG*D8*76273*: 73: 0: 0: 89491: 20:COMMUNITY HEALTHCARE NETWORK:7887116:BF1F4619-E293-4B0B-9901-2A9826B63FD8:3824 south Carrier parkway::Grand Prairie:TX:75052::::::::::::::::::2025538369:TEXAS PHYSICIANS CARE:HC:P14:P:Grayson:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 3*2009/05/31 22*03**21.550*34****~
PER*IP**EM*HAYES*HP*KRISTIN*CP*D*~
N3**218379933~
N4*18751 Lbj freeway**Mesquite**CY*TX*~
DMG*D8*75150*: 45: 0: 0: 42803: 20:NAIER ANHARY:1454061:F7C0777C-EB73-4E36-90ED-EC32D4D22A19:1709 Preston road::Plano:TX:75093::::::::::::::::::3015166492:JAI MEDICAL SYSTEMS :HC:P08:P:Dallas:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/03/25 22*03**21.550*34****~
PER*IP**EM*KING*HP*MARIANNE*CP**~
N3**216737399~
N4*534 El Dorado boulevard**Houston**CY*TX*~
DMG*D8*77598*: 81: 0: 0: 44734: 20:MEDSTAR GEORGETOWN MEDICAL CTR:1467816:A7828D94-DCDA-4E05-AD50-9FC6F837BB61:500 highway 183 ::White Settlement:TX:76108::::::::::::::::::4438257196:AMERIGROUP TEXAS INC:HC:F05:F:Harris:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/08/11 22*03**21.550*34****~
PER*IP**EM*BEATON*HP*LAKISHA*CP**~
N3**212819637~
N4*625 north Oak street**Pearsall**CY*TX*~
DMG*D8*78061*: 65: 0: 0: 57207: 20:J H U ORTHOPAEDIC SURG:2113112:2CDBD235-A3C9-4E66-BF4A-67415FE99A30:5630 north Desert boulevard::El Paso:TX:79912::::::::::::::::::4432980014:UNITED HEALTHCARE :HC:P07:P:Frio:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*761820374**~
REF*1L* 1**~
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NM1*IL*1* 3*2009/01/31 22*03**21.550*34****~
PER*IP**EM*GREEN*HP*MONIQUE*CP*J*~
N3**216150783~
N4*13880 south Post Oak road**Houston**CY*TX*~
DMG*D8*77045*: 81: 0: 0: 86518: 35:UMD ANESTHESIOLOGY:7516916:5193DBB5-A0A3-425D-BF57-E51DB24A4D74:2908 Kemp boulevard::Wichita Falls:TX:76308::::::::::::::::::4102086051:PRIORITY PARTNERS:HC:F05:U:Harris:U::Kidney Disease Program:********~
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REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/17 22*03**21.550*34****~
PER*IP**EM*OYOO*HP*MONA*CP**~
N3**216691886~
N4*4500 Twin City highway**Port Arthur**CY*TX*~
DMG*D8*77619*: 94: 0: 0: 53882: 20:SCOTT D KRUGMAN:1620118:B6BCECCA-354F-423D-ACAB-6CBF041E4E9C:3002 Heritage Way::Harlingen:TX:78550::::::::::::::::::3012901091:UNITED HEALTHCARE :HC:P13:P:Jefferson:U::Dialysis Facilities:********~
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REF*0F*581310284**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2008/12/23 22*03**21.550*34****~
PER*IP**EM*STARKS*HP*KAREN*CP**~
N3**577768731~
N4*Cypress North Houston road**Cypress**CY*TX*~
DMG*D8*77429*: 81: 0: 0: 59482: 20:WASHINGTON HOSPITAL CENTER:2437414:88202AED-B8AE-49C7-ABA6-D4064F2AA257:1440 south Bowen road::Arlington:TX:76013::::::::::::::::::2402368700:UNITED HEALTHCARE :HC:F05:U:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*345800854**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/08/04 22*03**21.550*34****~
PER*IP**EM*DAVIS*HP*NENE*CP**~
N3**218612887~
N4*4215 Canyon drive**Amarillo**CY*TX*~
DMG*D8*79110*: 161: 0: 0: 81848: 20:SAM HOUSTON UNIV DEPT OF RADIOLOG:5580218:F2FF5BEC-CD93-4D9A-9D0E-4730B81B22FE:3110 Windsor road::Austin:TX:78703::::::::::::::::::4439577220:COVENTRY HEALTH CARE OF TEXAS:HC:P08:P:Randall:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 2*2010/02/09 11*19**51.333*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082::::::::::::::::::4102471186:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*50496687599*Y*50496687599*A************~
REF*0F*049430314**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/08/08 22*03**21.550*34****~
PER*IP**EM*RAMIREZLOPEZ*HP*SHIRLEY*CP**~
N3**217739980~
N4*Gateway boulevard north**El Paso**CY*TX*~
DMG*D8*79934*: 54: 0: 0: 18155: 20:PATRICIA A THOMAS:0199036:941F88F3-C410-4837-9EB9-148B97250F14:6075 Broadway boulevard::Garland:TX:75043::::::::::::::::::4102570149:AMERIGROUP TEXAS INC:HC:P07:P:El Paso:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*549230114**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/03 22*03**21.550*34****~
PER*IP**EM*CUXVELASQUEZ*HP*SHAMYA*CP*F*~
N3**217732064~
N4*414 west Martin Luther King Jr boulevard**Austin**CY*TX*~
DMG*D8*78701*: 184: 0: 0: 84185: 20:GREATER AUSTIN MEDICAL CENTER:6591001:673AFC0A-1EAF-44A5-88F2-DA5AE0E0731A:2200 south Bell street::Amarillo:TX:79106::::::::::::::::::4105769576:PRIORITY PARTNERS:HC:P07:P:Travis:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*644170004**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/12/16 22*03**21.550*34****~
PER*IP**EM*GOLDBERG*HP*SARA*CP**~
N3**120688769~
N4*9025 Spencer highway**Deer Park**CY*TX*~
DMG*D8*77571*: 81: 0: 0: 72440: 20:DRS GROOVER CHRISTIE MERRITT PC:3968014:67059BFC-DA0B-42FB-B389-BA0AB3FF4C63:1121 east Spring Creek parkway::Plano:TX:75074::::::::::::::::::3013793291:AMERIGROUP TEXAS INC:HC:F05:U:Harris:U::Dialysis Facilities:********~
N1*IN*CEE632A9-B4E4-47D7-AE2F-D1C5CAE27FAB*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*934063610**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/11/11 22*03**21.550*34****~
PER*IP**EM*HARRIS*HP*PAMELA*CP*S*~
N3**220961223~
N4*7257 North Loop 1604 west**San Antonio**CY*TX*~
DMG*D8*78255*: 18: 0: 0: 40246: 20:WEINERS PHARMACY:1425005:313023E6-0E33-4F6E-85C7-1A930781DB08:1500 east Main street::Eastland:TX:76448:::::::::::::::::::PRIORITY PARTNERS:HC:F05:U:Bexar:U::Dialysis Facilities:********~
N1*IN*791B88D1-714E-465A-8166-A61A792AA106*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*53797389999*Y*59898172699*A************~
REF*0F*372810104**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 5*2009/09/07 22*03**21.550*34****~
PER*IP**EM*RUIZ*HP*MICHAEL*CP**~
N3**217637092~
N4*421 east Highway 199**Springtown**CY*TX*~
DMG*D8*76082*: 151: 0: 0: 86540: 20:HOSSEIN TAVASSOLIE:7519613:637FB528-1333-40A9-989E-6BE9A7958144:2601 Preston road::Frisco:TX:75034::::::::::::::::::4102391128:AMERIGROUP TEXAS INC:HC:F05:F:Parker:U::Dialysis Facilities:********~
N1*IN*F951B168-EF3D-4EF5-A50D-998FAE7CA071*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*52396724199*Y*52396724199*A************~
REF*0F*264610564**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/09 22*03**21.550*34****~
PER*IP**EM*INZER*HP*MAHOGANI*CP**~
N3**215738417~
N4*13484 northwest Freeway Walmart**Jersey Village**CY*TX*~
DMG*D8*77040*: 81: 0: 0: 18388: 20:HELIXCARE:0202312:BFBCB23D-88E7-4B2B-8694-C6135F114CB3:19511 interstate45::Spring:TX:77388::::::::::::::::::4106368845:PRIORITY PARTNERS:HC:P13:P:Harris:U::Dialysis Facilities:********~
N1*IN*688F770F-F49B-471C-BC3B-B17A8E1BED04*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*57896755299*Y*57896755199*A************~
REF*0F*444230124**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/04/30 22*03**21.550*34****~
PER*IP**EM*JACKSON*HP*OZLEY*CP**~
N3**227714693~
N4*101 south Main street**Anthony**CY*TX*~
DMG*D8*79821*: 54: 0: 0: 81569: 20:CLAUDIO G CEPEDA:5517036:2CCF9B10-8305-4798-BB6E-822422995F76:1 Utsa circle::San Antonio:TX:78249::::::::::::::::::4437083409:UNITED HEALTHCARE :HC:P08:P:El Paso:U::Dialysis Facilities:********~
N1*IN*C89D7BBA-8E55-44ED-B80D-7C7978D571E5*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*53496583599*Y*53496583599*A************~
REF*0F*951610334**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 4*2009/11/26 08*32**26.043*34****~
PER*IP**EM*WYLIE*HP*KAMERON*CP**~
N3**214750559~
N4*3103 Kemp boulevard**Wichita Falls**CY*TX*~
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N4*1916 west Wheeler avenue**Aransas Pass**CY*TX*~
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PER*IP**EM*RODRIGUEZ*HP*TA'LEE*CP**~
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N4*4600 Woodlands parkway**The Woodlands**CY*TX*~
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N3**267433826~
N4*1911 4th street**Lubbock**CY*TX*~
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PER*IP**EM*MCALLISTER*HP*NATHANIEL*CP*B*~
N3**213453739~
N4*212 north Johnson street**Alice**CY*TX*~
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NM1*IL*1* 3*2009/07/19 22*03**21.550*34****~
PER*IP**EM*BARNES*HP*UKHTI*CP*S*~
N3**237771298~
N4*2607 farm road 518 road east**League City**CY*TX*~
DMG*D8*77573*: 67: 0: 0: 64817: 20:NIGHTTIME PEDS & ADULT CARE TOO:3123219:5CF3DAEB-27DF-42F1-8EA5-5BF7EA3B0656:25901 highway 290 west::Harper:TX:78631::::::::::::::::::3018822069:PRIORITY PARTNERS:HC:P08:P:Galveston:U::Dialysis Facilities:********~
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PER*IP**EM*TAPIA*HP*MICHAEL*CP**~
N3**214453976~
N4*18630 highway 1488**Magnolia**CY*TX*~
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PER*IP**EM*BRYAN*HP*MELISSA*CP*C*~
N3**216085271~
N4*1201 north Hobart street**Pampa**CY*TX*~
DMG*D8*79065*: 72: 0: 0: 41699: 20:TOTAL HEALTH CARE  INC:1449510:A43AC504-01A4-401B-8CC3-99A6367B1516:7747 Kirby drive::Houston:TX:77030::::::::::::::::::4103614212:AMERIGROUP TEXAS INC:HC:F01:R:Gray:U::Dialysis Facilities:********~
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PER*IP**EM*HALL*HP*TENIYA*CP*N*~
N3**213250877~
N4*13813 Burnet road**Austin**CY*TX*~
DMG*D8*78727*: 184: 0: 0: 89884: 20:BALJEET S SELHI:7933061:C14676D3-F176-477A-AA2A-26C89940ACB6:3310 east Broadway street::Pearland:TX:77581::::::::::::::::::2403461331:AMERIGROUP TEXAS INC:HC:F05:F:Travis:U::Dialysis Facilities:********~
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PER*IP**EM*SULLIVAN*HP*ROBERT*CP**~
N3**220530161~
N4*5501 highway 6**Missouri City**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/08/29 22*03**21.550*34****~
PER*IP**EM*MORANT*HP*YESLIN*CP**~
N3**216738269~
N4*10638 west Bellfort street**Houston**CY*TX*~
DMG*D8*77099*: 81: 0: 0: 36194: 20:METROPOLITAN MEDICAL ASSOCIATES:1305310:AB248F7E-F567-4E0D-87AC-5FB24D49A1B3:300 Radioshack circle::Fort Worth:TX:76102::::::::::::::::::3014983027:AMERIGROUP TEXAS INC:HC:P07:P:Harris:U::Dialysis Facilities:********~
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REF*0F*692030564**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/11 22*03**21.550*34****~
PER*IP**EM*ORELLANA*HP*MATHIAS*CP**~
N3**216730826~
N4*212 north Johnson street**Alice**CY*TX*~
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REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/01/06 15*15**20.433*34****~
PER*IP**EM*BROWN*HP*SOHNA*CP*E*~
N3**213251942~
N4*608 west highway 79**Rockdale**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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DTP*356*D8* 14~
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NM1*IL*1* 3*2008/11/05 22*03**21.550*34****~
PER*IP**EM*ABAD*HP*KARLA*CP**~
N3**216731266~
N4*1240 north Mechanic street**El Campo**CY*TX*~
DMG*D8*77437*: 204: 0: 0: 36194: 20:METROPOLITAN MEDICAL ASSOCIATES:1305310:AB248F7E-F567-4E0D-87AC-5FB24D49A1B3:300 Radioshack circle::Fort Worth:TX:76102::::::::::::::::::3014983027:AMERIGROUP TEXAS INC:HC:P07:P:Wharton:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*357*D8* 27~
NM1*IL*1* 3*2008/09/28 22*03**21.550*34****~
PER*IP**EM*ZUROVSKAYA*HP*WILLIAM*CP**~
N3**119841384~
N4*2100 farm road 1887 road**Hempstead**CY*TX*~
DMG*D8*77445*: 195: 0: 0: 1786: 20:BRUNSWICK COMMUNITY HOSPITAL:0025569:1BA970FB-CBA2-4F7D-89AD-67A9B6FBDBD4:1910 Bob Bullock Loop::Laredo:TX:78043:::::::::::::::::::AMERIGROUP TEXAS INC:HC:F05:F:Waller:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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DTP*357*D8* 31~
NM1*IL*1* 3*2009/09/03 22*03**21.550*34****~
PER*IP**EM*JACKSON*HP*SHADANA*CP*R*~
N3**215310722~
N4*986 south Burleson boulevard**Burleson**CY*TX*~
DMG*D8*76028*: 98: 0: 0: 42803: 20:NAIER ANHARY:1454061:F7C0777C-EB73-4E36-90ED-EC32D4D22A19:1709 Preston road::Plano:TX:75093::::::::::::::::::3015166492:JAI MEDICAL SYSTEMS :HC:P08:P:Johnson:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/14 22*03**21.550*34****~
PER*IP**EM*OKUTUGA*HP*NATALIA*CP**~
N3**579394339~
N4*5300 San Dario avenue**Laredo**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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PER*IP**EM*SALVADOR*HP*YANNET*CP*S*~
N3**220511098~
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PER*IP**EM*MURPHY*HP*KINGSON*CP*Y*~
N3**235210078~
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PER*IP**EM*ALLEN*HP*STEVEN*CP*G*~
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DTP*356*D8*~
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DMG*D8**:::: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082:::85698569856: 2:6588A56655:1964/09/20 00:00:00.000:Steven Allen Test:Steven Allen Test 123:Steven Allen Test:CA:80125::3034656985::8888888888:3032490495::4102471186:TEXAS PHYSICIANS CARE:HC::::::Dialysis Facilities:35********~
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DTP*357*D8*~
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N3**216822411~
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DMG*D8**:::: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082:::85698569856: 3:6588A56655:1964/09/20 00:00:00.000:Steven Allen Test:Steven Allen Test 123:Steven Allen Test:CA:80125::3034656985::8888888888:3032490495::4102471186:TEXAS PHYSICIANS CARE:HC::::::Dialysis Facilities:Other********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 3*2008/10/11 22*03**21.550*34****~
PER*IP**EM*LOBATO*HP*LISA*CP*G*~
N3**213614733~
N4*4015 Phelan road**Phelan**CY*TX*~
DMG*D8*92371*: 165: 0: 0: 53882: 20:SCOTT D KRUGMAN:1620118:B6BCECCA-354F-423D-ACAB-6CBF041E4E9C:3002 Heritage Way::Harlingen:TX:78550::::::::::::::::::3012901091:TEXAS PHYSICIANS CARE:HC:P08:P:San Bernardino:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
REF*ZZ* 1**~
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DTP*357*D8* 27~
NM1*IL*1* 3*2009/01/09 22*03**21.550*34****~
PER*IP**EM*CHURCH*HP*JUSTIN*CP*R*~
N3**218653049~
N4*871 Business Highway 377**Whitesboro**CY*TX*~
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N4*1911 4th street**Lubbock**CY*TX*~
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N4*14450 Memorial drive**Houston**CY*TX*~
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N4*8675 Alameda avenue**El Paso**CY*TX*~
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N4*1240 north Mechanic street**El Campo**CY*TX*~
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N4*10950 highway 151**San Antonio**CY*TX*~
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N4*597 northwest Parkway street**Azle**CY*TX*~
DMG*D8*76020*: 151: 0: 0: 92953: 20:GARY H GORDON:9740015:FCBAF2EF-F9E5-4602-92EC-5816AC09A902:8520 Abrams road::Dallas:TX:75243::::::::::::::::::3014906476:TEXAS PHYSICIANS CARE:HC:F05:F:Parker:U::Dialysis Facilities:********~
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N3**126646350~
N4*10703 Westheimer**Denton**CY*TX*~
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N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082::::::::::::::::::4102471186:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
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N4*1601 east Adams avenue**Temple**CY*TX*~
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N3**215773245~
N4*21189 Tomball parkway**Houston**CY*TX*~
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PER*IP**EM*THOMAS*HP*TIARA*CP*K*~
N3**217394035~
N4*732 north interstate35**Austin**CY*TX*~
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N3**218614444~
N4*1635 Market place boulevard**Irving**CY*TX*~
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NM1*IL*1* 3*2009/01/25 22*03**21.550*34****~
PER*IP**EM*KEARINS*HP*KOK-SEAH*CP**~
N3**219067696~
N4*3820 highway 64 west**Tyler**CY*TX*~
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PER*IP**EM*TURMON*HP*ROOSEVELT*CP**~
N3*III *212375484~
N4*111 George Bush drive**College Station**CY*TX*~
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NM1*IL*1* 3*2009/08/24 22*03**21.550*34****~
PER*IP**EM*RUSH*HP*RYAN*CP**~
N3**214493337~
N4*9110 Gosling road**The Woodlands**CY*TX*~
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DTP*356*D8* 38~
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NM1*IL*1* 3*2009/05/31 22*03**21.550*34****~
PER*IP**EM*INZER*HP*REBECCA*CP**~
N3**217656692~
N4*8303 Broadway street**Pearland**CY*TX*~
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PER*IP**EM*ROSE*HP*LILI*CP**~
N3**219538427~
N4*1901 interstate20 west**Odessa**CY*TX*~
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PER*IP**EM*DAVIS*HP*NY'ASIA*CP*J*~
N3**220494858~
N4*1543 NC Highway 56**Creedmoor**CY*TX*~
DMG*D8*27522*: 71: 0: 0: 81848: 20:SAM HOUSTON UNIV DEPT OF RADIOLOG:5580218:F2FF5BEC-CD93-4D9A-9D0E-4730B81B22FE:3110 Windsor road::Austin:TX:78703::::::::::::::::::4439577220:COVENTRY HEALTH CARE OF TEXAS:HC:P08:P:Granville:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2008/11/26 22*03**21.550*34****~
PER*IP**EM*YOUNG*HP*MOLLIE*CP*B*~
N3**220494987~
N4*2600 south Gregg street**Big Spring**CY*TX*~
DMG*D8*79720*: 89: 0: 0: 26694: 20:ARUNDEL MEDICAL GROUP  INC:1181017:49CE2062-0D9A-4B49-8520-E2BDF11DD595:109 Old Boerne road ::Bulverde:TX:78163::::::::::::::::::3018799536:PRIORITY PARTNERS:HC:F05:U:Howard:U::Dialysis Facilities:********~
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PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
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NM1*IL*1* 3*2008/12/22 22*03**21.550*34****~
PER*IP**EM*GORDON*HP*LINDA*CP*M*~
N3**219833843~
N4*2001 Genoa Red Bluff road**Pasadena**CY*TX*~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/12 22*03**21.550*34****~
PER*IP**EM*COLLINS*HP*MICAH*CP**~
N3**220618731~
N4*9303 Katy freeway**Houston**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*434700354**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/01/22 13*52**38.450*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
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N4*1240 north Mechanic street**El Campo**CY*TX*~
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N4*3285 Broadway boulevard**Garland**CY*TX*~
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N4*2151 north Josey lane**Carrollton**CY*TX*~
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N4*4350 southwest Boulevard**Stamford**CY*TX*~
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N4*1600 north Stemmons freeway**Denton**CY*TX*~
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N3**217531887~
N4*2501 north Main street**Taylor**CY*TX*~
DMG*D8*76574*: 212: 0: 0: 89374: 20:DIABETIC EDUCATION - JHBMC:7877714:FB9CC7F8-0AF1-42D3-A2C2-2601335E5204:4017 14th street::Plano:TX:75074:::::::::::::::::::UNITED HEALTHCARE :HC:P13:P:Williamson:U::Dialysis Facilities:********~
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PER*IP**EM*OKEEFE*HP*RACHEL*CP**~
N3**212336392~
N4*713 Pat Booker road**Universal City**CY*TX*~
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N3**215555354~
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N3**214732407~
N4*2910 Soncy road**Amarillo**CY*TX*~
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PER*IP**EM*LEMON*HP*SAMAR*CP**~
N3**216735725~
N4*1701 highway 646 west**League City**CY*TX*~
DMG*D8*77539*: 67: 0: 0: 65774: 20:CHESAPEAKE ORTHOPAEDIC   SPORTS MED:3198812:D3A1DC28-E1E2-435D-B23F-B524E613E517:12025 Northwest freeway::Houston:TX:77092::::::::::::::::::4434540950:TEXAS PHYSICIANS CARE:HC:F05:F:Galveston:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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PER*IP**EM*MATHEWS*HP*MADELYNE*CP*E*~
N3**212653946~
N4*1400 Lowes boulevard**Killeen**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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PER*IP**EM*VAUGHN*HP*MALCOLM*CP*L*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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N4*1600 north Stemmons freeway**Denton**CY*TX*~
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PER*IP**EM*BROWN*HP*MARITZABEL*CP*A*~
N3**220596433~
N4*3829 north highway 77**Corpus Christi**CY*TX*~
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PER*IP**EM*JOHNSON*HP*TRANELL*CP**~
N3**218718125~
N4*871 highway 377 north**Whitesboro**CY*TX*~
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PER*IP**EM*BALDWINCOLLINS*HP*KYLE*CP**~
N3**521139779~
N4*9195 North Loop east**Houston**CY*TX*~
DMG*D8*77029*: 81: 0: 0: 12072: 20:BARBARA J DE LATEUR:0127841:2C4DA9C3-FFE2-40A5-9FD9-6DF685A9B93C:2520 University boulevard::Houston:TX:77005::::::::::::::::::3018945143:TEXAS PHYSICIANS CARE:HC:P02:P:Harris:U::Dialysis Facilities:********~
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NM1*IL*1* 2*2010/01/13 10*03**59.323*34****~
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N3**214732407~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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PER*IP**EM*JAMES*HP*VICTORIA*CP*M*~
N3**207544971~
N4*2305 Hall avenue**Littlefield**CY*TX*~
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REF*1L* 1**~
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NM1*IL*1* 2*2010/02/10 09*00**52.213*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082::::::::::::::::::4102471186:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/04/29 22*03**21.550*34****~
PER*IP**EM*WHALEN*HP*MICHAEL*CP**~
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N4*1821 south Padre Island drive**Corpus Christi**CY*TX*~
DMG*D8*78416*: 142: 0: 0: 93471: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:9930019:7BF8657A-6BCB-420F-AD8D-249055B6F1E4:1801 south Loop 288::Denton:TX:76205::::::::::::::::::4104995136:TEXAS PHYSICIANS CARE:HC:P13:P:Nueces:U::Dialysis Facilities:********~
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DTP*356*D8* 63~
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NM1*IL*1* 3*2009/03/14 22*03**21.550*34****~
PER*IP**EM*BAINES*HP*KEYANA*CP*A*~
N3**212338452~
N4*4320 Franklin avenue**Waco**CY*TX*~
DMG*D8*76710*: 126: 0: 0: 25649: 37:ARTHUR P GUARINELLO:0993115:560BA338-34FB-44F4-83CA-BB5C1527850A:3535 Longmire drive::College Station:TX:77845::::::::::::::::::4105210921:TEXAS PHYSICIANS CARE:HC:S02:D:McLennan:U::Lithotripsy Facility:********~
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NM1*IL*1* 3*2008/12/31 22*03**21.550*34****~
PER*IP**EM*BROWN*HP*LAJUAN*CP**~
N3**407023874~
N4*4302 Buffalo Gap road**Abilene**CY*TX*~
DMG*D8*79606*: 180: 0: 0: 72759: 20:TRUE:4002482:F83C9F4D-AADF-4CD9-8BDD-782D18D9381D:19955 Fry Access road::Houston:TX:77094::::::::::::::::::3013259544:MEDSTAR HEALTH:HC:S02:D:Taylor:U::Dialysis Facilities:********~
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REF*0F*876710854**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/18 22*03**21.550*34****~
PER*IP**EM*BROWN*HP*KAMRYN*CP*L*~
N3**216699775~
N4*3801 west Highway 31**Corsicana**CY*TX*~
DMG*D8*75110*: 140: 0: 0: 71186: 20:JOHN A BUONOCORE:3767515:F0608910-4868-4ECF-A740-6F43157FFC0F:5630 Saratoga boulevard::Corpus Christi:TX:78414::::::::::::::::::3015591318:PRIORITY PARTNERS:HC:P07:P:Navarro:U::Dialysis Facilities:********~
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REF*0F*434700354**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/01/22 14*41**12.420*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
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REF*0F*456100804**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/11/09 22*03**21.550*34****~
PER*IP**EM*HORNER*HP*KIMBERLY*CP**~
N3**212113803~
N4*4691 highway 121**The Colony**CY*TX*~
DMG*D8*75056*: 49: 0: 0: 73824: 20:DEBORAH B EHRENTHAL:4099010:BE70CFC7-EFE9-4E7E-9C20-0A3C898C0E8E:2300 south Ih 35::Round Rock:TX:78681::::::::::::::::::3015155309:TEXAS PHYSICIANS CARE:HC:F05:U:Denton:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*865130404**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/06 14*45**09.090*34****~
PER*IP**EM*SMITH*HP*LARON*CP*K*~
N3*JR  *577298971~
N4*4650 highway 6 north**Houston**CY*TX*~
DMG*D8*77084*: 81: 0: 0: 16208: 45:HARBOR PARK DIALYSIS:0177229:4948BB6B-070F-419D-BEB5-A2BB532BFB47:1007 south Congress avenue::Austin:TX:78704:::::::::::::::::::TEXAS PHYSICIANS CARE:HC:::Harris:U::Nursing Facility:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*553600774**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/05/28 22*03**21.550*34****~
PER*IP**EM*TICHINEL*HP*KEDUS*CP*S*~
N3**236515497~
N4*1911 4th street**Lubbock**CY*TX*~
DMG*D8*79401*: 117: 0: 0: 76437: 20:MICHAEL R. MARDINEY JR., TX, PA:4476018:4B48B3E3-0CC6-4585-8891-39C9CD48555D:1101 Ira East Woods avenue::Grapevine:TX:76051::::::::::::::::::2406453574:UNITED HEALTHCARE :HC:F05:F:Lubbock:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*408098030**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/03/02 22*03**21.550*34****~
PER*IP**EM*STANSBURY*HP*SHIV*CP*M*~
N3**216376688~
N4*25666 Northwest freeway**Cypress**CY*TX*~
DMG*D8*77429*: 81: 0: 0: 58788: 20:RIO GRANDE PHYSICIANS  P A:2266415:E80AF6A6-2A7D-4377-B27A-FCE54134EB90:2733 north Collins street::Arlington:TX:76006::::::::::::::::::3018698296:TEXAS PHYSICIANS CARE:HC:F05:F:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*443600004**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/03/02 22*03**21.550*34****~
PER*IP**EM*PAUL*HP*SHELDON*CP*M*~
N3**220042001~
N4*1120 Santa Ursula avenue**Laredo**CY*TX*~
DMG*D8*78040*: 202: 0: 0: 69492: 20:AUSTIN PUBLIC SCHOOLS:3585824:3A9CBF6B-E994-4C4F-AA28-EC0BA8573932:2600 Trimmier road::Killeen:TX:76542::::::::::::::::::4104265605:UNITED HEALTHCARE :HC:F05:F:Webb:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*215728030**~
REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/02/11 10*57**52.757*34****~
PER*IP**EM*FLEMING*HP*SHEREKA*CP*L*~
N3**215290820~
N4*1600 north Stemmons freeway**Denton**CY*TX*~
DMG*D8*76201*: 49: 0: 0: 156: 20:RIO GRANDE PHYSICIANS PA:0003221:68EC994A-9379-4E9D-820C-4363B852BF10:1450 Gulfgate Center Mall::Houston:TX:77087::::::::::::::::::3017903233:TEXAS PHYSICIANS CARE:HC:::Denton:U::Dialysis Facilities:********~
N1*IN*07990ADA-4216-4DD4-89B5-94D1429F80CD*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*57196134599*Y*57196134599*A************~
REF*0F*256830824**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/20 22*03**21.550*34****~
PER*IP**EM*EGOM*HP*MARY*CP*I*~
N3**397291906~
N4*400 east Amarillo boulevard**Amarillo**CY*TX*~
DMG*D8*79107*: 158: 0: 0: 46740: 20:GARY L MENDELSON:1476912:AC90F3AC-CEC7-473F-97D7-DBA47973C253:300 Meyerland Plaza Mall::Houston:TX:77096::::::::::::::::::4102768208:AMERIGROUP TEXAS INC:HC:P07:P:Potter:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*098810224**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/26 22*03**21.550*34****~
PER*IP**EM*MULLINIX*HP*NATHAN*CP**~
N3**212399249~
N4*2101 7th street**Bay City**CY*TX*~
DMG*D8*77414*: 121: 0: 0: 71050: 20:IRVING HYATT R L  GINSBERG TX PA:3753115:F2CCE7F7-4BE1-4052-92A9-9487F76754F6:710 west Renner road::Richardson:TX:75080::::::::::::::::::3016047445:TEXAS PHYSICIANS CARE:HC:P13:P:Matagorda:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*53098059999*Y*53098059999*A************~
REF*0F*726630634**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/10/31 22*03**21.550*34****~
PER*IP**EM*ROLOFF*HP*RONALD*CP**~
N3**213512131~
N4*2215 south Washington street**Kaufman**CY*TX*~
DMG*D8*75142*: 101: 0: 0: 89427: 20:WASHINGTON REGIONAL CARD:7879318:AABC19B6-BAF2-461D-B8BB-CC079203D9D2:817 south MacArthur boulevard::Coppell:TX:75019::::::::::::::::::4102826844:UNITED HEALTHCARE :HC:P08:P:Kaufman:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*51699275899*Y*51699275899*A************~
REF*0F*142700384**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/06/27 22*03**21.550*34****~
PER*IP**EM*WATTENSCHEIDT*HP*LEONARD*CP*A*~
N3**217150143~
N4*5301 East freeway**Houston**CY*TX*~
DMG*D8*77020*: 81: 0: 0: 52633: 20:AMERICAN RADIOLOGY ASSOC:1581023:CD30C9FB-EBE8-4990-ABD4-9818362AE821:115 Sundance parkway::Round Rock:TX:78681::::::::::::::::::4108273316:UNITED HEALTHCARE :HC:F01:R:Harris:U::Dialysis Facilities:********~
N1*IN*14993C11-638C-47B3-8138-02E56F689996*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*58098361299*Y*58098361299*A************~
REF*0F*845100424**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/09/08 22*03**21.550*34****~
PER*IP**EM*PHILLIPS*HP*KEITH*CP*M*~
N3*JR  *216515819~
N4*9025 Spencer highway**Deer Park**CY*TX*~
DMG*D8*77571*: 81: 0: 0: 44582: 23:THE SAM HOUSTON HOSPITAL:1466026:A0271C92-6F50-4A65-886B-366FBE0933C6:6400 Fannin street::Houston:TX:77030::::::::::::::::::3015153967:PRIORITY PARTNERS:HC:P13:P:Harris:U::HMO:********~
N1*IN*1481A067-D658-4EDA-9148-471BD0FFFC63*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*59196331499*Y*59196331499*A************~
REF*0F*386630804**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/06/15 22*03**21.550*34****~
PER*IP**EM*LIBORIO*HP*KAMERYN*CP*A*~
N3**217796133~
N4*10323 East freeway**Houston**CY*TX*~
DMG*D8*77013*: 81: 0: 0: 66346: 20:CHARLES A MUTSCHLER:3266028:F3F12127-DDE9-4957-9C75-E9932EA02F44:701 south Capital of Texas highway::West Lake Hills:TX:78746::::::::::::::::::4438059633:PRIORITY PARTNERS:HC:P07:P:Harris:U::Dialysis Facilities:********~
N1*IN*FCEE7B71-93CF-421D-9367-E6685BDB686C*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*659010654**~
REF*1L* 1**~
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DTP*356*D8* 39~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/05/09 22*03**21.550*34****~
PER*IP**EM*BURROWS*HP*SIMONE*CP*N*~
N3**249952609~
N4*25550 interstate10**Katy**CY*TX*~
DMG*D8*77494*: 61: 0: 0: 22252: 20:CHILDREN S HOSPITAL NATIONAL MEDICA:0576913:091B1E79-1EA9-4E1E-BF33-31064398AACF:1351 north Davis street::West:TX:76691::::::::::::::::::4108374990:PRIORITY PARTNERS:HC:P14:P:Fort Bend:U::Dialysis Facilities:********~
N1*IN*9972B748-BD9C-40A9-A62A-2E5E4BE795C9*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*53297403299*Y*53297403499*A************~
REF*0F*569520764**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/07/19 22*03**21.550*34****~
PER*IP**EM*BETTES*HP*ZACHARY*CP*R*~
N3**217351103~
N4*7409 farm road 620 road north**Austin**CY*TX*~
DMG*D8*78726*: 184: 0: 0: 23741: 20:ANNAPOLIS OB GYN ASSOC   P A:0728314:7AE9CE6D-B4A0-4B12-BA85-9B5425A60D04:1709 Preston road::Plano:TX:75093::::::::::::::::::4103414880:TEXAS PHYSICIANS CARE:HC:F05:U:Travis:U::Dialysis Facilities:********~
N1*IN*FE1C386F-2975-4FF1-8F62-3C5CE98CD094*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*589700654**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/02/22 22*03**21.550*34****~
PER*IP**EM*GROBES*HP*SHANIQUE*CP**~
N3**171663556~
N4*1149 Gulfway drive**Port Arthur**CY*TX*~
DMG*D8*77640*: 94: 0: 0: 40631: 20:ADVANCED RADIOLOGY:1445006:387004BB-4C14-43E4-9C2E-F2A8F110157F:115 Sundance parkway::Round Rock:TX:78681::::::::::::::::::4107581038:PRIORITY PARTNERS:HC:F05:F:Jefferson:U::Dialysis Facilities:********~
N1*IN*F115DF80-60B1-480F-90A0-56F033915B4F*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*7C7755C6-E8C2-4226-9309-924580B5CB1A*69948275298*Y*58097968199*A************~
REF*0F*534736030**~
REF*1L* 1**~
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DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2008/10/31 22*03**21.550*34****~
PER*IP**EM*PIERCE*HP*ZANDRIA*CP*T*~
N3**219496586~
N4*11482 Perrin Beitel road**San Antonio**CY*TX*~
DMG*D8*78217*: 18: 0: 0: 89944: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:7939311:1BC37BB1-9E4D-4B6E-9628-05B080037262:2150 south highway 121::Lewisville:TX:75067::::::::::::::::::4437894572:MEDSTAR HEALTH:HC:F01:R:Bexar:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*53296702399*Y*53296702399*A************~
REF*0F*981720714**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/28 22*03**21.550*34****~
PER*IP**EM*HARRIS*HP*KENDRA*CP**~
N3**217714027~
N4*216 Coit road**Plano**CY*TX*~
DMG*D8*75075*: 37: 0: 0: 83647: 20:MARCEL BROOKS:6435611:A24FC018-D5F4-456F-8570-6A7824859AF3:3170 southeast Military drive::San Antonio:TX:78223::::::::::::::::::4106581246:UNITED HEALTHCARE :HC:P07:P:Collin:U::Dialysis Facilities:********~
N1*IN*B18A1999-5B2C-4E0C-A71A-4BD6F5864DFC*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*53697121099*Y*53697121099*A************~
REF*0F*787820364**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/08 22*03**21.550*34****~
PER*IP**EM*RUBIO ARAGON*HP*MADELIN*CP**~
N3**619315392~
N4*8030 Bandera road**San Antonio**CY*TX*~
DMG*D8*78250*: 18: 0: 0: 35933: 33:ALAN SMITH:1300610:458DDFA5-6F1A-4B45-BBC6-391517A44D98:2250 Buckthorne place::The Woodlands:TX:77380::::::::::::::::::4439870555:UNITED HEALTHCARE :HC:P13:P:Bexar:U::Hospital, Special Other Chronic:********~
N1*IN*3A20E1E3-3499-4B86-8B8C-4102CF9A3690*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*87932583239*Y*55396646899*A************~
REF*0F*582000414**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/03/27 22*03**21.550*34****~
PER*IP**EM*JOHNSON*HP*TRACEY*CP*L*~
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NM1*IL*1* 3*2009/01/20 22*03**21.550*34****~
PER*IP**EM*WOLFE*HP*MYO*CP**~
N3**220717592~
N4*610 west 29th street**San Angelo**CY*TX*~
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NM1*IL*1* 3*2008/12/04 22*03**21.550*34****~
PER*IP**EM*WILFORD*HP*KENDALL*CP*Q*~
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N4*8631 Broadway**San Antonio**CY*TX*~
DMG*D8*78217*: 18: 0: 0: 67357: 20:SAM HOUSTON BAYVIEW PHYSICIA:3366618:B46D4A22-C634-4089-920A-CA008337AD89:721 Hebron parkway::Lewisville:TX:75057::::::::::::::::::4105219175:PRIORITY PARTNERS:HC:F02:F:Bexar:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/01/28 22*03**21.550*34****~
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N3**217733796~
N4*1105 north interstate35**San Marcos**CY*TX*~
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NM1*IL*1* 3*2009/07/25 22*03**21.550*34****~
PER*IP**EM*STRATTON*HP*MICHELE*CP**~
N3**214046708~
N4*101 east Broadway street**Cuero**CY*TX*~
DMG*D8*77954*: 50: 0: 0: 70169: 20:RIO GRANDE PHYSICIANS  PA:3674011:56DC60DD-6577-4E29-B09E-060863DA72E3:301 Gateway north::Marble Falls:TX:78654::::::::::::::::::4434235526:MEDSTAR HEALTH:HC:F05:F:DeWitt:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/03/29 22*03**21.550*34****~
PER*IP**EM*HARRIS*HP*VALINDA*CP**~
N3**220290423~
N4*south highway 27**Summerville**CY*TX*~
DMG*D8*30747*: 194: 0: 0: 25585: 22:JAY BURDETTE:0988511:FE727259-91F4-4821-A409-C8087F3EB068:3512 east Interstate 40::Amarillo:TX:79103::::::::::::::::::4106362415:UNITED HEALTHCARE :HC:F05:U:Walker:U::DME/DMS:********~
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NM1*IL*1* 3*2008/09/25 22*03**21.550*34****~
PER*IP**EM*HOLDEN*HP*ROSE*CP*M*~
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N4*101 Grand Lake road**Celina**CY*TX*~
DMG*D8*45822*: 129: 0: 0: 50190: 20:PLANNED PARENTHOOD OF MA:1542026:29FAE527-F798-4E0D-9178-F2604914D1A6:4830 Wilson road::Humble:TX:77396::::::::::::::::::4437683874:PRIORITY PARTNERS:HC:F05:F:Mercer:U::Dialysis Facilities:********~
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REF*0F*103200834**~
REF*1L* 1**~
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DTP*357*D8* 27~
NM1*IL*1* 3*2009/02/19 22*03**21.550*34****~
PER*IP**EM*BARNHILL*HP*TRAVIS*CP*R*~
N3**214278560~
N4*4643 Beechnut street**Houston**CY*TX*~
DMG*D8*77096*: 81: 0: 0: 37085: 20:SAM HOUSTON SCHOOL OF MEDICINE:1342004:7F1BB226-A2B5-4452-B308-E8F1A45F9559:4925 south Broadway avenue::Tyler:TX:75703::::::::::::::::::3019670767:TEXAS PHYSICIANS CARE:HC:F05:F:Harris:U::Dialysis Facilities:********~
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REF*0F*023600734**~
REF*1L* 1**~
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DTP*357*D8* 32~
NM1*IL*1* 3*2009/03/25 22*03**21.550*34****~
PER*IP**EM*OGUREK*HP*SAMUEL*CP**~
N3**688034750~
N4*1001 highway 287 north**Mansfield**CY*TX*~
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NM1*IL*1* 3*2009/08/06 22*03**21.550*34****~
PER*IP**EM*JOHNSON*HP*SHIRA*CP*R*~
N3**217251770~
N4*255 Greens road**Houston**CY*TX*~
DMG*D8*77060*: 81: 0: 0: 72627: 20:CHILDREN'S HOSPITAL:3995003:4B00AB8F-F946-4857-8412-920E6175E2DF:5401 south highway 1626::Kyle:TX:78640::::::::::::::::::3017310985:UNITED HEALTHCARE :HC:F05:F:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/22 22*03**21.550*34****~
PER*IP**EM*ZUBER*HP*NIKOLAI*CP**~
N3**217514532~
N4*1024 east Anderson lane**Austin**CY*TX*~
DMG*D8*78753*: 184: 0: 0: 70977: 20:DR C ROSS BREGEL:3746411:AB0D4C4F-BE70-462D-BA63-D6B15C3932A1:5300 San Dario avenue::Laredo:TX:78041::::::::::::::::::4106658394:AMERIGROUP TEXAS INC:HC:P13:P:Travis:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/02/13 14*07**00.623*34****~
PER*IP**EM*LEIST*HP*KHALIL*CP**~
N3**212150910~
N4*600 Sidney Baker street**Kerrville**CY*TX*~
DMG*D8*78028*: 103: 0: 0: 77638: 71:PATHWAYS:4706323:00FF174C-A481-4E20-AFE7-11373B402535:4400 north Lamar boulevard::Austin:TX:78756:::::::::::::::::::TEXAS PHYSICIANS CARE:HC:::Kerr:U::Unknown. Code MC:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*51899847399*Y*51899847399*A************~
REF*0F*625100184**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/06/14 22*03**21.550*34****~
PER*IP**EM*BELL*HP*WARREN*CP*L*~
N3**218157452~
N4*1125 Crabb River road**Richmond**CY*TX*~
DMG*D8*77469*: 61: 0: 0: 44977: 23:UNITED CONCORDIA COMPANIES  INC:1470041:E73FD127-FF2E-4504-9DFE-EEC5F43EFD9E:5631 LBJ freeway::Dallas:TX:75240::::::::::::::::::2406016927:PRIORITY PARTNERS:HC:F05:F:Fort Bend:U::HMO:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*051610074**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/02/06 22*03**21.550*34****~
PER*IP**EM*ODUKWE*HP*MALIKA*CP**~
N3**214690704~
N4*1733 west Oaklawn drive**Pleasanton**CY*TX*~
DMG*D8*78064*: 7: 0: 0: 61743: 20:CURT CIVIN:2857618:6D699EE0-8272-4045-A68D-43BF6F6842D6:8223 highway 151::San Antonio:TX:78245::::::::::::::::::3015597962:AMERIGROUP TEXAS INC:HC:P13:P:Atascosa:U::Dialysis Facilities:********~
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REF*0F*193830154**~
REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/01/17 01*01**26.203*34****~
PER*IP**EM*WALKER*HP*WILLIAM*CP*R*~
N3**218689509~
N4*8036 highway 2673**Canyon Lake**CY*TX*~
DMG*D8*78133*: 38: 0: 0: 23622: 20:ANNE ARUNDEL DERMATOLOGY:0713511:6693E7C3-964F-46F5-9133-82252B336525:8407 Bandera road::San Antonio:TX:78250::::::::::::::::::4108701599:TEXAS PHYSICIANS CARE:HC:::Comal:U::Dialysis Facilities:********~
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REF*0F*393710904**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/10/12 22*03**21.550*34****~
PER*IP**EM*WRIGHT*HP*KEISHA AISHA*CP**~
N3**215042010~
N4*1018 Frontage road**Alamo**CY*TX*~
DMG*D8*78516*: 84: 0: 0: 35587: 20:HOSPICE OF THE CHESAPEAKE:1298003:01F694B1-0ECD-4AEC-BDB0-848DEB8E8444:721 Hebron parkway::Lewisville:TX:75057:::::::::::::::::::UNITED HEALTHCARE :HC:F05:U:Hidalgo:U::Dialysis Facilities:********~
N1*IN*0111E6FA-1318-4FCF-A6AC-C1BAC15912BC*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*FCA749D6-B94B-4566-85EE-4601E6E6FEA6*59897446099*Y*52897713099*A************~
REF*0F*968310464**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/21 14*51**34.197*34****~
PER*IP**EM*SMITH*HP*LIDET*CP*D*~
N3**214639368~
N4*5600 Bells Ferry road**Acworth**CY*TX*~
DMG*D8*30102*: 34: 0: 0: 84661: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:6878041:5764E414-0E21-4E0A-B674-A02E451B3281:10716 Kuykendahl road::The Woodlands:TX:77381::::::::::::::::::4109538220:COVENTRY HEALTH CARE OF TEXAS:HC:::Cherokee:U::Dialysis Facilities:********~
N1*IN*7A929987-D8BE-405B-9243-DCD8C0EE07D0*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*610720784**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/10/18 22*03**21.550*34****~
PER*IP**EM*PEREIRA*HP*RENE*CP*B*~
N3**216577425~
N4*813 south MacArthur boulevard**Coppell**CY*TX*~
DMG*D8*75019*: 45: 0: 0: 26227: 20:UNIV OF TX OB GYN ASSOC:1134515:CC30796A-0BCF-4906-AC88-EC55E6D99CD8:6600 south Rice avenue::Bellaire:TX:77401::::::::::::::::::4103482087:TEXAS PHYSICIANS CARE:HC:P08:P:Dallas:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*54196096199*Y*54196095999*A************~
REF*0F*434700354**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/22 14*41**12.077*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
N1*IN*214B519A-8C71-4F3D-BA5F-2DCE7DFE7280*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2009/11/17 13*15**00.823*34****~
PER*IP**EM*SAAVEDRAAQUINO*HP*ROWANYA*CP**~
N3**217796982~
N4*339 farm road 1960 road west**Houston**CY*TX*~
DMG*D8*77090*: 81: 0: 0: 27738: 14:A G ALEXANDER:1218728:31B0E8BE-38A6-46FD-9901-683204EFD164:1225 west Bardin road::Arlington:TX:76017::::::::::::::::::4103888258:TEXAS PHYSICIANS CARE:HC:::Harris:U::Clinic, Maryland Qualified Health Centers:********~
N1*IN*5ADAD2F8-9FC4-4AF9-9F16-2963E5B5C30D*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*234230174**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/07/15 22*03**21.550*34****~
PER*IP**EM*URENA*HP*VALERY*CP*M*~
N3**216735233~
N4*330 Valley Hi drive**San Antonio**CY*TX*~
DMG*D8*78227*: 18: 0: 0: 71911: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:3825612:83262245-9674-48D2-BA7A-A410FA81645D:1890 highway 359::Pecan Grove:TX:77406::::::::::::::::::4438657191:TEXAS PHYSICIANS CARE:HC:F05:F:Bexar:U::Dialysis Facilities:********~
N1*IN*D85ED28A-4A31-4077-9208-E7525C93C674*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*614410214**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/09/13 22*03**21.550*34****~
PER*IP**EM*ARMSTRONG*HP*MELISSA*CP*E*~
N3**213948230~
N4*104 Central expressway north**Allen**CY*TX*~
DMG*D8*75013*: 37: 0: 0: 82476: 20:WIENER AND DANIELS DPM PA:5916810:628280EF-0A73-41D0-A962-1A821BB19491:5508 highway 1960::Dayton:TX:77535::::::::::::::::::2023738127:AMERIGROUP TEXAS INC:HC:F01:R:Collin:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*284410594**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/09/07 22*03**21.550*34****~
PER*IP**EM*DAVIS*HP*ZAKIA*CP*T*~
N3**217314115~
N4*Gateway boulevard north**El Paso**CY*TX*~
DMG*D8*79934*: 54: 0: 0: 88906: 20:WOODHOLME GASTROENTEROLOGY:7825510:E2825E22-A47C-44C0-BC59-9FF3209F6FDC:3217 Sherwood Way::San Angelo:TX:76901::::::::::::::::::4438037908:PRIORITY PARTNERS:HC:F05:F:El Paso:U::Dialysis Facilities:********~
N1*IN*F458A027-C707-499E-89A0-C235AD3A048D*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*949230374**~
REF*1L* 1**~
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DTP*356*D8* 39~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/11 22*03**21.550*34****~
PER*IP**EM*CASTRO*HP*MOHAMED*CP**~
N3**216733861~
N4*392 North Sam Houston parkway east**Houston**CY*TX*~
DMG*D8*77060*: 81: 0: 0: 26110: 20:JOSEPH I RAMZY:1119117:50052D57-2D16-4668-88F1-24A195634D51:1700 west Parmer lane::Austin:TX:78727::::::::::::::::::4437363483:UNITED HEALTHCARE :HC:P14:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*275100904**~
REF*1L* 1**~
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PER*IP**EM*JOHNSON*HP*LANCE*CP*L*~
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N4*701 west Spring Creek parkway**Plano**CY*TX*~
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NM1*IL*1* 3*2009/09/01 22*03**21.550*34****~
PER*IP**EM*SCOTT*HP*PA*CP*D*~
N3**220254234~
N4*8425 farm road 1960 road west**Humble**CY*TX*~
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NM1*IL*1* 3*2009/09/17 22*03**21.550*34****~
PER*IP**EM*HARRIS*HP*ROGER*CP**~
N3*JR  *216650205~
N4*806 north Austin avenue**Georgetown**CY*TX*~
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NM1*IL*1* 3*2009/03/13 22*03**21.550*34****~
PER*IP**EM*ARUNGAH*HP*RAESHANDA*CP**~
N3**766079891~
N4*1423 Southwest parkway**Wichita Falls**CY*TX*~
DMG*D8*76302*: 209: 0: 0: 84629: 20:LOUIS J LARCA:6871054:61D3818A-90D1-43FA-9A64-102BA26D7962:5401 south highway 1626::Kyle:TX:78640::::::::::::::::::4103910655:PRIORITY PARTNERS:HC:P13:P:Wichita:U::Dialysis Facilities:********~
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DTP*356*D8* 11~
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NM1*IL*1* 3*2008/12/12 22*03**21.550*34****~
PER*IP**EM*PALMER*HP*SHALENA*CP*K*~
N3**214733279~
N4*2205 McDermott road**Plano**CY*TX*~
DMG*D8*75025*: 37: 0: 0: 59152: 20:SAM HOUSTON SCHOOL OF MEDICINE:2333309:BA2A8198-8AAE-4B92-A5EC-2ED3793A7576:Aviation Place ::Dallas:TX:75235::::::::::::::::::2402466680:AMERIGROUP TEXAS INC:HC:F01:R:Collin:U::Dialysis Facilities:********~
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DTP*356*D8* 38~
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NM1*IL*1* 3*2008/09/25 22*03**21.550*34****~
PER*IP**EM*REYES*HP*KARI*CP**~
N3**216519614~
N4*632 south R L Thornton freeway**Dallas**CY*TX*~
DMG*D8*75203*: 45: 0: 0: 20320: 20:KROOPNICK   SHERMAN:0264610:D19ECDD6-AF47-4A06-B8A4-70967BAC55BA:5000 south Beltline road::Grand Prairie:TX:75052::::::::::::::::::4106203344:AMERIGROUP TEXAS INC:HC:P13:P:Dallas:U::Dialysis Facilities:********~
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NM1*IL*1* 5*2009/08/07 22*03**21.550*34****~
PER*IP**EM*MUNFORD*HP*LAMONT*CP*M*~
N3**219674592~
N4*5305 east Paisano drive**El Paso**CY*TX*~
DMG*D8*79905*: 54: 0: 0: 73646: 20:GEORGETOWN UNIV HOSP:4081919:B57F219C-A8C6-447E-B29B-8FAB2531E088:3310 east Broadway street::Pearland:TX:77581::::::::::::::::::4104333176:PRIORITY PARTNERS:HC:F05:U:El Paso:U::Dialysis Facilities:********~
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REF*0F*542330854**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/08/18 22*03**21.550*34****~
PER*IP**EM*MASLOWSKI*HP*NOEL*CP**~
N3**213714125~
N4*7765 highway 281 north **Spring Branch**CY*TX*~
DMG*D8*78070*: 38: 0: 0: 62930: 20:COMMUNITY RADIOLOGY ASSO:3029611:C3FD3282-3053-4BC2-BC81-54AAD32BE5F7:6001 Hillcroft ::Houston:TX:77085::::::::::::::::::3013732587:TEXAS PHYSICIANS CARE:HC:P07:P:Comal:U::Dialysis Facilities:********~
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REF*0F*077910174**~
REF*1L* 2**~
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DTP*356*D8* 45~
DTP*357*D8* 30~
NM1*IL*1* 3*2009/05/09 22*03**21.550*34****~
PER*IP**EM*KELLY*HP*VERONICA*CP**~
N3**212196071~
N4*18 northth street**Waco**CY*TX*~
DMG*D8*76708*: 126: 0: 0: 11476: 20:EAST & WEST PEDIATRICS, LLC:0120146:665541F7-9B68-4EC8-925F-D9B1FEAA3157:3030 Western Center boulevard::Fort Worth:TX:76131::::::::::::::::::3019342393:PRIORITY PARTNERS:PAC:S09:N:McLennan:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/04/15 22*03**21.550*34****~
PER*IP**EM*TAFOUR*HP*MARANDA*CP*M*~
N3**213393048~
N4*7765 highway 281 north **Spring Branch**CY*TX*~
DMG*D8*78070*: 38: 0: 0: 27013: 20:MERCY MEDICAL CENTER:1218018:E9C33D3E-CDCE-4C61-9EB8-E8E2916373C6:301 Southwest Plz::Arlington:TX:76016::::::::::::::::::4433302787:AMERIGROUP TEXAS INC:HC:F05:U:Comal:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*726000914**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2009/02/28 22*03**21.550*34****~
PER*IP**EM*PLATER*HP*TRACEY*CP*M*~
N3**217045166~
N4*112 east Edinburg street**Elsa**CY*TX*~
DMG*D8*78538*: 84: 0: 0: 77322: 20:CHRIS CUPAS:4656415:6DF2A0DA-E656-4D5D-8898-96937E3CF219:2452 west Loop 340::Waco:TX:76711::::::::::::::::::4435423743:UNITED HEALTHCARE :HC:F05:F:Hidalgo:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*625610384**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/11/22 22*03**21.550*34****~
PER*IP**EM*BOWEN*HP*MARIAH*CP*D*~
N3**220415707~
N4*22148 Westheimer parkway**Cinco Ranch**CY*TX*~
DMG*D8*77450*: 61: 0: 0: 83506: 20:ST AGNES ANESTHESIA:6345018:4FAFF119-92CE-4A8E-9646-024CFF4CB773:1403 Main street::Southlake:TX:76092::::::::::::::::::4437494432:AMERIGROUP TEXAS INC:HC:F05:F:Fort Bend:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*942620324**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/09/18 22*03**21.550*34****~
PER*IP**EM*PEDRAZA*HP*PATRICK*CP**~
N3**217734369~
N4*1216 Junction highway**Kerrville**CY*TX*~
DMG*D8*78028*: 103: 0: 0: 57449: 20:UM WOMEN'S:2132214:9F5A2B92-941C-4B58-A6B2-051C8B730EC0:2600 west 7th street::Fort Worth:TX:76107::::::::::::::::::4106234106:PRIORITY PARTNERS:HC:P07:P:Kerr:U::Dialysis Facilities:********~
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REF*0F*729230234**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 5*2009/08/31 22*03**21.550*34****~
PER*IP**EM*HENDERSON*HP*TAHJ*CP**~
N3**120902605~
N4*1901 interstate20 west**Odessa**CY*TX*~
DMG*D8*79766*: 53: 0: 0: 37522: 20:SAINT PAUL PLACE:1366011:16BCBBB5-B9B4-4497-AD4D-B65C4EAF0F25:6400 Fannin street::Houston:TX:77030::::::::::::::::::4109456725:UNITED HEALTHCARE :HC:F05:F:Ector:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*091710414**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/27 22*03**21.550*34****~
PER*IP**EM*ESPINO*HP*MADELYN*CP*D*~
N3**212533659~
N4*12350 Eastex freeway**Houston**CY*TX*~
DMG*D8*77039*: 81: 0: 0: 60899: 20:SAM HOUSTON COMMUNITY PHYSICIANS:2708710:82B331AF-80CE-4FE5-AA0D-E141544F22C0:302 Grapevine highway::Hurst:TX:76054::::::::::::::::::4108352211:AMERIGROUP TEXAS INC:HC:P13:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*434700354**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/22 14*39**59.963*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*609040600**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/05/03 22*03**21.550*34****~
PER*IP**EM*MUSSER*HP*SHANNEN*CP**~
N3**215735221~
N4*18 northth street**Waco**CY*TX*~
DMG*D8*76708*: 126: 0: 0: 61715: 20:DENTAL BENEFIT PROVIDERS:2855810:F9FEEC71-D7C1-4768-BB1B-61495BD43FA5:4000 highway 2181::Denton:TX:76210::::::::::::::::::3015934934:PRIORITY PARTNERS:HC:F05:U:McLennan:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*968310464**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 4*2010/01/21 14*53**35.983*34****~
PER*IP**EM*SMITH*HP*OMAREA*CP*E*~
N3**213593376~
N4*502 west highway 351**Beeville**CY*TX*~
DMG*D8*78102*: 13: 0: 0: 84661: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:6878041:5764E414-0E21-4E0A-B674-A02E451B3281:10716 Kuykendahl road::The Woodlands:TX:77381:: 120::::::::::::::::4109538220:COVENTRY HEALTH CARE OF TEXAS:HC:::Bee:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*133810354**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/08/01 22*03**21.550*34****~
PER*IP**EM*PRINGLE*HP*TIZAHA*CP*W*~
N3**213943747~
N4*1103 farm road 1462 road**Alvin**CY*TX*~
DMG*D8*77511*: 22: 0: 0: 20028: 22:CHRISTOPHER SENDI:0236039:0BDB3F74-E18D-49F8-8F4B-57C4BDABC950:4650 southwest Loop 820::Fort Worth:TX:76109::::::::::::::::::2025271347:AMERIGROUP TEXAS INC:HC:F05:U:Brazoria:U::DME/DMS:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*408098030**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/07/19 22*03**21.550*34****~
PER*IP**EM*STANSBURY*HP*SHARI*CP*B*~
N3**212413767~
N4*9601 Westheimer road**Houston**CY*TX*~
DMG*D8*77063*: 81: 0: 0: 58788: 20:RIO GRANDE PHYSICIANS  P A:2266415:E80AF6A6-2A7D-4377-B27A-FCE54134EB90:2733 north Collins street::Arlington:TX:76006::::::::::::::::::3018698296:TEXAS PHYSICIANS CARE:HC:F05:F:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*289410954**~
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DTP*356*D8* 67~
DTP*357*D8* 26~
NM1*IL*1* 3*2009/08/11 22*03**21.550*34****~
PER*IP**EM*GREEN*HP*OLIVIA*CP*M*~
N3**214277245~
N4*1100 Highway 96 north**Silsbee**CY*TX*~
DMG*D8*77656*: 79: 0: 0: 25307: 20:ALLEGANY COUNTY HEALTH DEPARTMENT:0944416:48CEA940-F35C-4261-9AE8-71A8E0C76955:1550 Grand parkway::Katy:TX:77494::::::::::::::::::4106412861:AMERIGROUP TEXAS INC:HC:E01:E:Hardin:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*198542300**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/02 22*03**21.550*34****~
PER*IP**EM*BLASY*HP*SIERRA*CP*A*~
N3**216410794~
N4*4101 McColl road**Edinburg**CY*TX*~
DMG*D8*78539*: 84: 0: 0: 21634: 20:DAVID C MOSES TX:0515710:D953DC88-6511-448B-B1B7-347020E224F1:6800 west Virginia parkway ::Mc Kinney:TX:75071::::::::::::::::::4437408990:UNITED HEALTHCARE :HC:P08:P:Hidalgo:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*181930984**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/13 10*44**38.667*34****~
PER*IP**EM*LANK*HP*TAMEKA*CP*A*~
N3**222720699~
N4*6 Lycoming Mall**Muncy**CY*TX*~
DMG*D8*17756*: 118: 0: 0: 33995: 20:JULIE A SOSA:1258424:FEF320A8-FADB-4073-9E6A-00016FC8AA0C:18518 Kuykendahl road::Spring:TX:77379::::::::::::::::::4435340189:JAI MEDICAL SYSTEMS :HC:::Lycoming:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*407500914**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/18 22*03**21.550*34****~
PER*IP**EM*GUTIERREZ*HP*SRIDHAR*CP**~
N3**214737503~
N4*5750 west Virginia**Mc Kinney**CY*TX*~
DMG*D8*75071*: 37: 0: 0: 83280: 20:ROCKVILLE DENTAL ARTS:6221211:E97321C9-6DE3-405D-BAF0-F5A73629C10F:11220 highway 2222::Austin:TX:78730::::::::::::::::::3013221909:AMERIGROUP TEXAS INC:HC:P13:P:Collin:U::Dialysis Facilities:********~
N1*IN*0352E840-C8FD-439F-B280-E146EEC7654C*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*55296376299*Y*55296376299*A************~
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N4*1388 east Court street**Seguin**CY*TX*~
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PER*IP**EM*CORTES*HP*OCTAVIA*CP**~
N3**~
N4*8840 highway 34 south**Quinlan**CY*TX*~
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PER*IP**EM*HARRIS*HP*RONNIE*CP**~
N3**229968914~
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N4*1910 50th street**Lubbock**CY*TX*~
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NM1*IL*1* 2*2010/02/09 12*18**37.637*34****~
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REF*1L* 1**~
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DTP*356*D8* 15~
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NM1*IL*1* 3*2008/12/21 22*03**21.550*34****~
PER*IP**EM*COOPER*HP*LINDA*CP**~
N3**216554396~
N4*3414 College avenue**Snyder**CY*TX*~
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REF*1L* 1**~
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PER*IP**EM*HELMICK*HP*PARADISE*CP*S*~
N3**213516811~
N4*8675 Alameda avenue**El Paso**CY*TX*~
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NM1*IL*1* 2*2010/02/09 11*36**48.953*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
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N3**213866696~
N4*1200 southeast Military drive**San Antonio**CY*TX*~
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DTP*356*D8* 38~
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PER*IP**EM*MENDOZA*HP*TYRON*CP*L*~
N3**220537642~
N4*2410 Dodson avenue**Del Rio**CY*TX*~
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NM1*IL*1* 3*2009/07/10 22*03**21.550*34****~
PER*IP**EM*MOORE*HP*KAYLLY*CP*N*~
N3**558899724~
N4*5141 east 42nd street**Odessa**CY*TX*~
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PER*IP**EM*BURNS*HP*TAYLOR*CP**~
N3**204765899~
N4*Memorial drive**Chisholm**CY*TX*~
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PER*IP**EM*MAVAMBU*HP*OLIVER*CP**~
N3**215730273~
N4*8435 north Belt Line road**Irving**CY*TX*~
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NM1*IL*1* 2*2010/01/06 14*37**53.360*34****~
PER*IP**EM*SMITH*HP*SHAHRIAR*CP*Q*~
N3**213455247~
N4*6 Lycoming Mall**Muncy**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 2*2010/01/21 15*48**37.967*34****~
PER*IP**EM*JOHNSON*HP*LATREASE*CP*R*~
N3**220418577~
N4*9303 Katy freeway**Houston**CY*TX*~
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REF*0F*220534610**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/24 22*03**21.550*34****~
PER*IP**EM*DANG*HP*MARIAH*CP*H*~
N3**217454475~
N4*102 south WW White road**San Antonio**CY*TX*~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*902410604**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/03 22*03**21.550*34****~
PER*IP**EM*ZUBER*HP*MICHAEL*CP**~
N3**217512292~
N4*3350 Harwood road**Bedford**CY*TX*~
DMG*D8*76021*: 179: 0: 0: 70977: 20:DR C ROSS BREGEL:3746411:AB0D4C4F-BE70-462D-BA63-D6B15C3932A1:5300 San Dario avenue::Laredo:TX:78041::::::::::::::::::4106658394:AMERIGROUP TEXAS INC:HC:P13:P:Tarrant:U::Dialysis Facilities:********~
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REF*0F*624920604**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/02/14 22*03**21.550*34****~
PER*IP**EM*KOPALCHICK*HP*PATRICK*CP*M*~
N3**212534670~
N4*608 west highway 79**Rockdale**CY*TX*~
DMG*D8*76567*: 132: 0: 0: 89793: 20:SHOCK TRAUMA:7923104:0BDF6DC6-5DDF-4ABA-B21F-A523F2CDF3DA:11611 Katy freeway::Houston:TX:77079::::::::::::::::::3015820810:UNITED HEALTHCARE :HC:P08:P:Milam:U::Dialysis Facilities:********~
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PER*IP**EM*SMITH*HP*REANA*CP*S*~
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PER*IP**EM*ROJAS*HP*MARIANO*CP**~
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NM1*IL*1* 3*2008/09/20 22*03**21.550*34****~
PER*IP**EM*TUCKER*HP*PETER*CP*R*~
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N4*1635 Market place boulevard**Irving**CY*TX*~
DMG*D8*75063*: 45: 0: 0: 91652: 20:RADIATION ONCOLOGY AFFILIATES OF MA:9053026:E88675C1-4D8A-4BF7-823B-C0E544A71B7B:7925 highway 1960::Dayton:TX:77535::::::::::::::::::4342534480:UNITED HEALTHCARE :PAC:S09:N:Dallas:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2008/09/23 22*03**21.550*34****~
PER*IP**EM*FORD*HP*MALIK*CP**~
N3**130844011~
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NM1*IL*1* 2*2010/02/09 15*27**58.410*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082::::::::::::::::::4102471186:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
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PER*IP**EM*MEYERS*HP*MICHAI*CP**~
N3**116921545~
N4*1120 Santa Ursula avenue**Laredo**CY*TX*~
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NM1*IL*1* 3*2008/12/12 22*03**21.550*34****~
PER*IP**EM*BLASY*HP*KINGSTON*CP*L*~
N3**220335387~
N4*highway 83**Laredo**CY*TX*~
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NM1*IL*1* 2*2010/01/22 15*00**57.520*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
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N3**219591049~
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PER*IP**EM*TURZAK*HP*MALLORY*CP**~
N3**204780131~
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DMG*D8*76110*: 179: 0: 0: 34083: 20:KARYN KASSIS:1260036:7CA4D94D-EB71-40DE-8DE9-7C24DE1E574B:1400 east Northwest highway::Grapevine:TX:76051::::::::::::::::::2403627627:UNITED HEALTHCARE :HC:P08:P:Tarrant:U::Dialysis Facilities:********~
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PER*IP**EM*MCDANIEL*HP*STEPHANIE*CP**~
N3**579273120~
N4*8401 Gateway boulevard west**El Paso**CY*TX*~
DMG*D8*79925*: 54: 0: 0: 44604: 20:UTHICA PATEL:1466036:8E661B1B-7A40-4AE6-9F95-31A0D51E01D8:12605 Gessner road::Houston:TX:77064::::::::::::::::::4109012167:PRIORITY PARTNERS:HC:F05:U:El Paso:U::Dialysis Facilities:********~
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PER*IP**EM*QUEEN*HP*TANIYA*CP*I*~
N3**217732097~
N4*Hillcrest drive highway 70**Vernon**CY*TX*~
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NM1*IL*1* 3*2008/11/03 22*03**21.550*34****~
PER*IP**EM*TURMON*HP*KEVIN*CP**~
N3**216316701~
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DMG*D8*75075*: 37: 0: 0: 2946: 20:HQM OF MALLARD BAY:0038628:9F714E7F-2E6A-4874-AF8E-BBB637D22464:10801 Westheimer road::Houston:TX:77042:::::::::::::::::::TEXAS PHYSICIANS CARE:HC:F05:U:Collin:U::Dialysis Facilities:********~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/10/22 22*03**21.550*34****~
PER*IP**EM*JACKSON*HP*LAURA*CP*L*~
N3**217760321~
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DMG*D8*78852*: 123: 0: 0: 60964: 20:BARBARA A BURNS:2716216:76605B17-B089-425E-A1A5-AC818ADE6E75:612 Grapevine highway::Hurst:TX:76054::::::::::::::::::4437652300:AMERIGROUP TEXAS INC:HC:F05:F:Maverick:U::Dialysis Facilities:********~
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NM1*IL*1* 4*2009/11/19 15*42**47.970*34****~
PER*IP**EM*HACKETT*HP*LILY*CP*E*~
N3**218788182~
N4*8001 highway 242**Conroe**CY*TX*~
DMG*D8*77385*: 136: 0: 0: 59420: 20:A  BELMAN:2418614:EAB05DCB-0423-48E3-802D-8153F1CEDCD3:12025 Northwest freeway::Houston:TX:77092:: 122::::::::::::::::4102570734:FREESTATE HEALTH PLAN:HC:::Montgomery:U::Dialysis Facilities:********~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/06/13 22*03**21.550*34****~
PER*IP**EM*NIAZI*HP*YESENIA*CP**~
N3**620748457~
N4*3611 north Main street**Houston**CY*TX*~
DMG*D8*77009*: 81: 0: 0: 20727: 20:AMERICAN RADIOLOGY ASSOC:0310417:28E8DE74-A2BB-4E04-A99E-FEA564D02BBB:833 northeast Alsbury boulevard::Burleson:TX:76028::::::::::::::::::3015985117:TEXAS PHYSICIANS CARE:HC:P08:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*553600774**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/01/19 22*03**21.550*34****~
PER*IP**EM*TICHINEL*HP*KIARA*CP*J*~
N3**234515912~
N4*9151 highway 78**Converse**CY*TX*~
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N3**215732088~
N4*256 Main street**Acton**CY*TX*~
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N3**216736138~
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PER*IP**EM*ALLEN*HP*SHAWN*CP*S*~
N3**220844337~
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PER*IP**EM*SCHAEFER*HP*JUSTIN*CP**~
N3**215733799~
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NM1*IL*1* 2*2010/02/12 17*08**38.963*34****~
PER*IP**EM*BRAUN*HP*YORCK*CP**~
N3**218651311~
N4*1126 Business Highway 77**Kingsville**CY*TX*~
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PER*IP**EM*WINK*HP*NICOLE*CP*L*~
N3**300883665~
N4*986 south Burleson boulevard**Burleson**CY*TX*~
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PER*IP**EM*BAKER*HP*KAITLYN*CP**~
N3**595913098~
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PER*IP**EM*BRAUN*HP*MARGARET*CP**~
N3**216213565~
N4*2706 east Highway 190**Copperas Cove**CY*TX*~
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NM1*IL*1* 3*2009/09/11 22*03**21.550*34****~
PER*IP**EM*LOCKLEAR*HP*VALAPARAMBIL*CP*L*~
N3**218152525~
N4*824 west Expressway 83**San Juan**CY*TX*~
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NM1*IL*1* 2*2009/11/20 08*26**12.300*34****~
PER*IP**EM*SAUNDERS*HP*STANLEY*CP*M*~
N3**~
N4*17970 highway 529**Houston**CY*TX*~
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PER*IP**EM*LUTZ*HP*ROXANNE*CP*J*~
N3**220211030~
N4*11031 Culebra road**San Antonio**CY*TX*~
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N4*505 north Dallas avenue**Lamesa**CY*TX*~
DMG*D8*79331*: 46: 0: 0: 64817: 20:NIGHTTIME PEDS & ADULT CARE TOO:3123219:5CF3DAEB-27DF-42F1-8EA5-5BF7EA3B0656:25901 highway 290 west::Harper:TX:78631::::::::::::::::::3018822069:PRIORITY PARTNERS:HC:F05:U:Dawson:U::Dialysis Facilities:********~
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PER*IP**EM*TAPIASAAVEDRA*HP*THOMAS*CP**~
N3**216737184~
N4*5888 Richmond avenue**Houston**CY*TX*~
DMG*D8*77057*: 81: 0: 0: 26480: 20:REYAZ U HAQUE:1156811:AC95C6A9-682C-4839-98DF-5AF006A84A3C:801 University avenue::Lubbock:TX:79401::::::::::::::::::3013780231:AMERIGROUP TEXAS INC:HC:P13:P:Harris:U::Dialysis Facilities:********~
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N3**215650799~
N4*1400 Lowes boulevard**Killeen**CY*TX*~
DMG*D8*76542*: 16: 0: 0: 3446: 20:JONG-SOO LEE:0042901:AC630F06-D889-4938-956A-FCEAE402BC28:3509 north 10th street::Mcallen:TX:78501::::::::::::::::::3015595390:AMERIGROUP TEXAS INC:HC:F05:F:Bell:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 3*2009/08/20 22*03**21.550*34****~
PER*IP**EM*DANGERFIELD*HP*KAILA*CP*D*~
N3**216631550~
N4*3275 College Park drive**Conroe**CY*TX*~
DMG*D8*77384*: 136: 0: 0: 82476: 20:WIENER AND DANIELS DPM PA:5916810:628280EF-0A73-41D0-A962-1A821BB19491:5508 highway 1960::Dayton:TX:77535::::::::::::::::::2023738127:AMERIGROUP TEXAS INC:HC:F05:F:Montgomery:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/07/13 22*03**21.550*34****~
PER*IP**EM*RUSH*HP*WILLIAM*CP**~
N3**213418237~
N4*22148 Westheimer parkway**Cinco Ranch**CY*TX*~
DMG*D8*77450*: 61: 0: 0: 89133: 20:RIO GRANDE PHYSICIANS  P A:7853513:8ADE8D46-EBCB-4DFB-B5E7-AB7ACF80C4ED:3120 south University drive::Fort Worth:TX:76109::::::::::::::::::4106462100:AMERIGROUP TEXAS INC:HC:F05:U:Fort Bend:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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DTP*356*D8* 38~
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NM1*IL*1* 3*2009/07/13 22*03**21.550*34****~
PER*IP**EM*RODRIGUEZ*HP*SHEQUERA*CP**~
N3**213494727~
N4*212 north Johnson street**Alice**CY*TX*~
DMG*D8*78332*: 95: 0: 0: 55483: 20:CHARLES H KIM:1883119:A6D185C7-7E55-4D1D-A4D9-7DCA9898BD2D:3100 Independence parkway::Plano:TX:75075::::::::::::::::::3013906173:AMERIGROUP TEXAS INC:HC:P13:P:Jim Wells:U::Dialysis Facilities:********~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/01/06 15*05**39.917*34****~
PER*IP**EM*BROWN*HP*JUWONTE*CP*D*~
N3**218510877~
N4*102 highway 3 south**League City**CY*TX*~
DMG*D8*77573*: 67: 0: 0: 9617: 23:DELMARVA HEALTH PLAN:0099791:5F62CDDD-0DA9-49AF-BC45-0ECD4BC7D415:5760 Legacy drive::Plano:TX:75024::::::::::::::::::3019180280:TEXAS PHYSICIANS CARE:HC:::Galveston:U::HMO:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/13 22*03**21.550*34****~
PER*IP**EM*ESPINO*HP*LISA*CP**~
N3**215733071~
N4*3025 Ella boulevard**Houston**CY*TX*~
DMG*D8*77018*: 81: 0: 0: 56224: 20:KENT GENERAL HOSPITAL:2001128:A01BB97B-C6A9-40E8-A306-3D2D966B642A:710 west Renner road::Richardson:TX:75080::::::::::::::::::4438724943:AMERIGROUP TEXAS INC:HC:P07:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*133810354**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2008/12/25 22*03**21.550*34****~
PER*IP**EM*SCOTT*HP*NAHOM*CP**~
N3**220673579~
N4*1240 north Mechanic street**El Campo**CY*TX*~
DMG*D8*77437*: 204: 0: 0: 34585: 23:PENN NORTH FAMILY HEALTH CENTER:1270079:71DA85E0-427F-4224-BA22-BF30D3E7D147:5000 west Slaughter lane::Austin:TX:78749::::::::::::::::::3013673330:AMERIGROUP TEXAS INC:HC:F05:U:Wharton:U::HMO:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*216909030**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/24 22*03**21.550*34****~
PER*IP**EM*OWEN*HP*LONDON*CP**~
N3**213652820~
N4*2101 Stone road**Kilgore**CY*TX*~
DMG*D8*75662*: 74: 0: 0: 89427: 20:WASHINGTON REGIONAL CARD:7879318:AABC19B6-BAF2-461D-B8BB-CC079203D9D2:817 south MacArthur boulevard::Coppell:TX:75019::::::::::::::::::4102826844:UNITED HEALTHCARE :HC:P08:P:Gregg:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*738210204**~
REF*1L* 1**~
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DTP*356*D8* 50~
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NM1*IL*1* 3*2009/09/17 22*03**21.550*34****~
PER*IP**EM*HOLMES*HP*KENYEN*CP*M*~
N3**215210975~
N4*102 north Broadway street**Post**CY*TX*~
DMG*D8*79356*: 68: 0: 0: 21987: 20:CYNTHIA K  SADLER  M D:0547310:F150323D-FF37-4C51-98D6-00F2BDB666B4:17455 Spring Cypress road::Cypress:TX:77429::::::::::::::::::3018661979:AMERIGROUP TEXAS INC:HC:P02:P:Garza:U::Dialysis Facilities:********~
N1*IN*CCA92043-492E-4D0B-BA03-AF27FF1F3359*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*52196729799*Y*52196729699*A************~
REF*0F*007230874**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/12 22*03**21.550*34****~
PER*IP**EM*OUBAID*HP*JYOTHI*CP**~
N3**212591889~
N4*1103 north Bell boulevard**Cedar Park**CY*TX*~
DMG*D8*78613*: 212: 0: 0: 72718: 20:HAROLD J HETTLEMAN:4001273:DD98B54B-B77A-48A1-A4DD-C912AAE007F2:501 Highway 71 west::Bastrop:TX:78602::::::::::::::::::3017224573:AMERIGROUP TEXAS INC:HC:P13:P:Williamson:U::Dialysis Facilities:********~
N1*IN*3E631EAB-96CC-4783-B1C1-072D21C542BA*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*046710054**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/10/05 22*03**21.550*34****~
PER*IP**EM*COX*HP*SOHAIL*CP*L*~
N3**242777188~
N4*464 east Main street**Crowley**CY*TX*~
DMG*D8*76036*: 179: 0: 0: 58278: 20:UNIV OF TX SURGICAL ASSOC:2206617:59D3D0A7-32AA-4468-AB72-1005C066C5E2:2908 Kemp boulevard::Wichita Falls:TX:76308:::::::::::::::::::PRIORITY PARTNERS:HC:P08:P:Tarrant:U::Dialysis Facilities:********~
N1*IN*3513D179-A990-4E4E-B025-DDFDAE691AD3*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*58396135799*Y*53398126699*A************~
REF*0F*246830614**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 5*2009/09/09 22*03**21.550*34****~
PER*IP**EM*PULLIAM*HP*TYRONE*CP**~
N3**212370238~
N4*1598 George Dieter drive**El Paso**CY*TX*~
DMG*D8*79936*: 54: 0: 0: 62233: 20:UNITED CONCORDIA:2950316:3FD2056A-BE2A-4FAF-99D8-AA4769CF2EF4:6600 south Rice avenue::Bellaire:TX:77401::::::::::::::::::2406079096:PRIORITY PARTNERS:HC:F05:U:El Paso:U::Dialysis Facilities:********~
N1*IN*BDA5A1EB-85F9-4C81-9F2D-E1C531898A73*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*572120354**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/09/04 22*03**21.550*34****~
PER*IP**EM*BONOLASORIANO*HP*OZIOMA*CP**~
N3**217731075~
N4*3115 Edgar Brown drive**Orange**CY*TX*~
DMG*D8*77630*: 145: 0: 0: 22093: 20:LONDON  ROOTS AND ASSOC:0555011:03F623FA-A3FB-45A2-B438-B12479CFD612:100 west Southlake boulevard::Southlake:TX:76092::::::::::::::::::4103235941:PRIORITY PARTNERS:HC:P13:P:Orange:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*497230294**~
REF*1L* 1**~
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DTP*356*D8* 63~
DTP*357*D8* 25~
NM1*IL*1* 3*2009/01/24 22*03**21.550*34****~
PER*IP**EM*GEHRMAN*HP*TARRI*CP*B*~
N3**212738081~
N4*Hillcrest drive highway 70**Vernon**CY*TX*~
DMG*D8*76384*: 210: 0: 0: 57207: 20:J H U ORTHOPAEDIC SURG:2113112:2CDBD235-A3C9-4E66-BF4A-67415FE99A30:5630 north Desert boulevard::El Paso:TX:79912::::::::::::::::::4432980014:UNITED HEALTHCARE :HC:S02:D:Wilbarger:U::Dialysis Facilities:********~
N1*IN*2017AA5C-E76D-4BBF-A141-69E5BE4445CE*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*497700194**~
REF*1L* 1**~
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DTP*356*D8* 47~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/08/10 22*03**21.550*34****~
PER*IP**EM*FEUERHARDT*HP*MARY*CP**~
N3**217028353~
N4*1102 south 8th street**La Porte**CY*TX*~
DMG*D8*77571*: 81: 0: 0: 91955: 20:MEDICINE SHOPPE PHARMACY THE:9139010:0E34BDCA-8477-4C70-87A3-CBF163BC3B2A:3054 west Camp Wisdom road::Grand Prairie:TX:75052:::::::::::::::::::PRIORITY PARTNERS:HC:F02:F:Harris:U::Dialysis Facilities:********~
N1*IN*D28BA9B9-BA2B-47D6-BB36-1719B8210E92*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*58597115799*Y*55696495899*A************~
REF*0F*148820414**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/11 22*03**21.550*34****~
PER*IP**EM*FRIMPONG*HP*KRISTIAN*CP*S*~
N3**246991000~
N4*10450 Northwest freeway**Houston**CY*TX*~
DMG*D8*77092*: 81: 0: 0: 83706: 20:AUSTIN HLTH DPT/FIELD:6447210:153E567F-5D9E-4AE0-8B70-5C20B3079890:1400 Cypress Creek road::Cedar Park:TX:78613:::::::::::::::::::PRIORITY PARTNERS:HC:P13:P:Harris:U::Dialysis Facilities:********~
N1*IN*2E2362A8-B4A1-4380-92EB-E80393F9B782*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*54398194499*Y*54398194399*A************~
REF*0F*450810654**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/09/06 22*03**21.550*34****~
PER*IP**EM*HUDSON*HP*LESTER*CP**~
N3**578258355~
N4*4690 Southmost road**Brownsville**CY*TX*~
DMG*D8*78521*: 31: 0: 0: 71326: 20:REHAB PRACTITIONERS INC:3776913:1D40F815-D0F8-4C92-9463-FA6A3EEA89EF:3100 north Mesa street::El Paso:TX:79902:::::::::::::::::::TEXAS PHYSICIANS CARE:HC:P08:P:Cameron:U::Dialysis Facilities:********~
N1*IN*D9CD4E52-8DB7-4394-9E52-229018A43AA2*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*59798566399*Y*50596038699*A************~
REF*0F*633410204**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 5*2009/07/25 22*03**21.550*34****~
PER*IP**EM*MANNING*HP*KIANITRA*CP*C*~
N3**214061785~
N4*2600 south Gregg street**Big Spring**CY*TX*~
DMG*D8*79720*: 89: 0: 0: 70730: 20:DELMARVA HEALTH PLAN:3720519:3BE73A54-4295-452C-A1D1-057636831CDA:13140 Louetta road::Cypress:TX:77429::::::::::::::::::3012235525:PRIORITY PARTNERS:HC:F05:F:Howard:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2008/11/18 22*03**21.550*34****~
PER*IP**EM*GEOGHEGAN*HP*MANISH*CP*A*~
N3**213251097~
N4*3801 west Highway 31**Corsicana**CY*TX*~
DMG*D8*75110*: 140: 0: 0: 23007: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:0652911:5CCEB385-C7BE-4277-9039-58902E7F95A1:3100 Independence parkway::Plano:TX:75075::::::::::::::::::3018038110:AMERIGROUP TEXAS INC:HC:F05:U:Navarro:U::Dialysis Facilities:********~
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PER*IP**EM*COLLINS*HP*MICHAEL*CP*F*~
N3**214983305~
N4*1504 Taub Loop**Houston**CY*TX*~
DMG*D8*77030*: 81: 0: 0: 83381: 22:JOHN C BAER  TX:6237312:D9339763-6F02-43D6-894E-E41425C557E3:5115 Buffalo Speedway::Houston:TX:77005::::::::::::::::::2404323346:PRIORITY PARTNERS:HC:P02:P:Harris:U::DME/DMS:********~
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NM1*IL*1* 5*2009/09/18 22*03**21.550*34****~
PER*IP**EM*WATHEN*HP*KEENAN*CP**~
N3**217738899~
N4*6380 Phelan boulevard**Beaumont**CY*TX*~
DMG*D8*77706*: 94: 0: 0: 80617: 20:SAM HOUSTON SCHOOL OF MEDICINE:5382114:943A7507-62A2-4254-8622-8EFE71E80FD4:1151 Uptown Park boulevard::Houston:TX:77056::::::::::::::::::4103626649:PRIORITY PARTNERS:HC:F05:F:Jefferson:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/07/08 22*03**21.550*34****~
PER*IP**EM*HITCHENS*HP*REBECCA*CP*M*~
N3**214238011~
N4*3110 farm road 1960 road east**Atascocita**CY*TX*~
DMG*D8*77338*: 81: 0: 0: 21423: 20:UNIVERSITY IMAGING CTR:0493210:8C5E4280-B6A6-4089-B2A6-0664CEBDB17B:6539 Lake Worth boulevard::Lake Worth:TX:76135::::::::::::::::::4438049088:PRIORITY PARTNERS:HC:F05:U:Harris:U::Dialysis Facilities:********~
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NM1*IL*1* 5*2009/09/06 22*03**21.550*34****~
PER*IP**EM*JACKSON*HP*SANDRA*CP**~
N3**217719430~
N4*625 south Zaragosa road**El Paso**CY*TX*~
DMG*D8*79907*: 54: 0: 0: 89942: 20:AUSTIN WASHINGTON EYE CENTER:7939311:9CB61BB8-00C4-4BFC-A7F5-3C2DA05B6B08:5959 Long Prairie road::Flower Mound:TX:75028::::::::::::::::::4433240009:MEDSTAR HEALTH:HC:F05:U:El Paso:U::Dialysis Facilities:********~
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REF*0F*417850210**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/25 22*03**21.550*34****~
PER*IP**EM*ARMSTRONG*HP*RYAN*CP*D*~
N3**216335983~
N4*2205 McDermott road**Plano**CY*TX*~
DMG*D8*75025*: 37: 0: 0: 20892: 20:ESCM NORTH LLC:0336017:523F48A2-44DA-431B-A3E6-7A04F0BE0142:4017 14th street::Plano:TX:75074:::::::::::::::::::UNITED HEALTHCARE :HC:P08:P:Collin:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*291710794**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/09/20 22*03**21.550*34****~
PER*IP**EM*ESPINO*HP*KELLY*CP**~
N3**217554511~
N4*1340 Westheimer avenue**Houston**CY*TX*~
DMG*D8*77006*: 81: 0: 0: 60899: 20:SAM HOUSTON COMMUNITY PHYSICIANS:2708710:82B331AF-80CE-4FE5-AA0D-E141544F22C0:302 Grapevine highway::Hurst:TX:76054::::::::::::::::::4108352211:AMERIGROUP TEXAS INC:HC:P13:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*674010854**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/07/29 22*03**21.550*34****~
PER*IP**EM*SPEAKS*HP*LINDIWE*CP*J*~
N3**217614824~
N4*1188 Benjamin Franklin highway**Douglassville**CY*TX*~
DMG*D8*19518*: 17: 0: 0: 55415: 20:CHURCH HOSPITAL CORPORATION:1877411:52993AE2-4BA6-4B05-811C-7AE251138B31:101 Bowie street::San Antonio:TX:78205:::::::::::::::::::AMERIGROUP TEXAS INC:HC:P08:P:Berks:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*294430494**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/09/14 22*03**21.550*34****~
PER*IP**EM*SINLAO*HP*ZUMARI*CP*M*~
N3**214715586~
N4*1105 north interstate35**San Marcos**CY*TX*~
DMG*D8*78666*: 82: 0: 0: 17569: 20:H T FOLEY:0192511:4A006AA7-46F4-41C5-A290-BC09A103B32A:102 I 35 highway northeast::Hillsboro:TX:76645::::::::::::::::::3017748137:AMERIGROUP TEXAS INC:HC:P07:P:Hays:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*670480030**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/25 22*03**21.550*34****~
PER*IP**EM*REYES*HP*KAISER*CP**~
N3**132803292~
N4*1111 Andrews highway**Midland**CY*TX*~
DMG*D8*79701*: 131: 0: 0: 20320: 20:KROOPNICK   SHERMAN:0264610:D19ECDD6-AF47-4A06-B8A4-70967BAC55BA:5000 south Beltline road::Grand Prairie:TX:75052::::::::::::::::::4106203344:AMERIGROUP TEXAS INC:HC:P13:P:Midland:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*726710584**~
REF*1L* 1**~
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DTP*356*D8* 39~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/07/30 22*03**21.550*34****~
PER*IP**EM*STUM*HP*RONALD*CP*J*~
N3**219371063~
N4*299 highway 90**Hondo**CY*TX*~
DMG*D8*78861*: 127: 0: 0: 70738: 20:DAVID R BROWN:3720918:CB5F51C3-A7E8-4346-8FB9-6A1EF9A1E2C6:1 Main street::Houston:TX:77002::::::::::::::::::4105695377:PRIORITY PARTNERS:HC:P14:P:Medina:U::Dialysis Facilities:********~
N1*IN*0488AA11-C9BE-47AC-BF84-C285BA4C2A2A*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*515920154**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2009/04/06 22*03**21.550*34****~
PER*IP**EM*FORD*HP*TYNASIA*CP**~
N3**067807727~
N4*1943 north I 35**Carrollton**CY*TX*~
DMG*D8*75006*: 45: 0: 0: 89427: 20:WASHINGTON REGIONAL CARD:7879318:AABC19B6-BAF2-461D-B8BB-CC079203D9D2:817 south MacArthur boulevard::Coppell:TX:75019::::::::::::::::::4102826844:AMERIGROUP TEXAS INC:HC:F05:U:Dallas:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*498930904**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/10/31 22*03**21.550*34****~
PER*IP**EM*MORRIS*HP*MYNIKA*CP*E*~
N3**218315833~
N4*2602 east Main street**Madisonville**CY*TX*~
DMG*D8*77864*: 119: 0: 0: 91823: 35:NORMAN TINANOFF:9123113:2BFA404B-2C3D-4230-82E8-85A7150EAC5B:8420 Katy freeway::Spring Valley:TX:77024::::::::::::::::::4103224886:AMERIGROUP TEXAS INC:HC:F05:F:Madison:U::Kidney Disease Program:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*720060004**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2008/10/07 22*03**21.550*34****~
PER*IP**EM*MCDONALD*HP*ROBERT*CP*D*~
N3**218197967~
N4*1024 east Anderson lane**Austin**CY*TX*~
DMG*D8*78753*: 184: 0: 0: 57741: 35:PARNES   MAY  M D   P A:2156814:73CABE96-0C43-4DEB-9A92-638FA2314707:201 Main street::Streetman:TX:75859::::::::::::::::::4106825396:PRIORITY PARTNERS:HC:F01:R:Travis:U::Kidney Disease Program:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/07/04 22*03**21.550*34****~
PER*IP**EM*ALLEN*HP*NNENNA*CP**~
N3**217111025~
N4*11482 Perrin Beitel road**San Antonio**CY*TX*~
DMG*D8*78217*: 18: 0: 0: 83664: 20:SOLOMONS URGENT:6440011:5C4B7519-EEA3-456C-8FCE-AA94D7A04889:6064 Brownfield highway::Lubbock:TX:79407::::::::::::::::::4438598116:UNITED HEALTHCARE :HC:F05:F:Bexar:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 50~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/12 22*03**21.550*34****~
PER*IP**EM*HAMM*HP*MICHAEL*CP**~
N3**213837129~
N4*1105 north interstate35**San Marcos**CY*TX*~
DMG*D8*78666*: 82: 0: 0: 23506: 20:RIO GRANDE PHYSICIANS  P A:0711217:A3455FE2-5C99-4A80-8B47-2EC4B71F3C3C:3301 south 22nd avenue::Euless:TX:75261::::::::::::::::::4436689061:PRIORITY PARTNERS:HC:P02:P:Hays:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 32~
DTP*357*D8* 30~
NM1*IL*1* 3*2009/01/11 22*03**21.550*34****~
PER*IP**EM*MANOHAR*HP*LESLY*CP**~
N3**136920807~
N4*5200 Fairmont parkway**Pasadena**CY*TX*~
DMG*D8*77505*: 81: 0: 0: 68002: 37:CHETNA  JHA:3423000:210E51E6-D588-4942-B1F8-D92241DBB8BE:3002 Heritage Way::Harlingen:TX:78550::::::::::::::::::4105168883:PRIORITY PARTNERS:HC:D04:N:Harris:U::Lithotripsy Facility:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*69253611039*Y*69253611039*A************~
REF*0F*922001200**~
REF*1L* 1**~
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DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/07/21 22*03**21.550*34****~
PER*IP**EM*JOYCE*HP*TAYLOR*CP*V*~
N3**212499812~
N4*6312 Hollywood road**Amarillo**CY*TX*~
DMG*D8*79110*: 161: 0: 0: 59407: 20:EYEMASTERS:2415119:2F4D71FD-36C7-4D28-A07A-98BC7B588731:17504 Northwest freeway::Jersey Village:TX:77065:::::::::::::::::::PRIORITY PARTNERS:HC:F01:R:Randall:U::Dialysis Facilities:********~
N1*IN*0CE8640F-C1FE-41F9-B6E4-326823AF8FBF*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*54496662299*Y*54496662399*A************~
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REF*1L* 1**~
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DTP*356*D8* 39~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/05/26 22*03**21.550*34****~
PER*IP**EM*FLEET*HP*PATRICK*CP**~
N3**213574456~
N4*1920 Wilcrest drive**Houston**CY*TX*~
DMG*D8*77042*: 81: 0: 0: 51926: 20:NIAGRA FALLS MEMORIAL:1579002:8C7E6676-CD4D-4024-BDEB-9BE2C405D10E:200 University boulevard::Round Rock:TX:78665:::::::::::::::::::PRIORITY PARTNERS:HC:P14:P:Harris:U::Dialysis Facilities:********~
N1*IN*61BCB50B-27FC-4E00-8D48-FDF6BC940EA0*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*57695964899*Y*54295857099*A************~
REF*0F*153040324**~
REF*1L* 1**~
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DTP*356*D8* 50~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/05/17 22*03**21.550*34****~
PER*IP**EM*BABALOLA*HP*KIM*CP**~
N3**217695797~
N4*303 north Green street**Caldwell**CY*TX*~
DMG*D8*77836*: 27: 0: 0: 82178: 20:CALVERT WOMENS HEALTH:5652006:390862E8-D94A-4189-BAB5-27D538857B6B:2150 south highway 121::Lewisville:TX:75067::::::::::::::::::4103631293:PRIORITY PARTNERS:HC:P02:P:Burleson:U::Dialysis Facilities:********~
N1*IN*2D279F6E-A19D-47F0-BCD6-AF769F8CFBD8*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*69180645329*Y*69180645329*A************~
REF*0F*395410104**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/06/06 22*03**21.550*34****~
PER*IP**EM*WALKER*HP*RIBAL S*CP*M*~
N3**213989266~
N4*11825 Bellaire**Houston**CY*TX*~
DMG*D8*77083*: 81: 0: 0: 57740: 35:VIRGINIA A KEANE:2156814:18DBBD93-0354-454C-8C4B-0DE92472A5C2:Aviation Place ::Dallas:TX:75235::::::::::::::::::4102226625:AMERIGROUP TEXAS INC:HC:F05:U:Harris:U::Kidney Disease Program:********~
N1*IN*ED269E1C-5049-4930-9D22-C811F5617289*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*69914552079*Y*69914552079*A************~
REF*0F*744580030**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/06/03 22*03**21.550*34****~
PER*IP**EM*GOVIA*HP*NICOLE*CP*F*~
N3**153927841~
N4*6110 north Fry road**Katy**CY*TX*~
DMG*D8*77449*: 81: 0: 0: 78747: 20:RIO GRANDE PHYSICIANS  P A:4931505:6766CD3C-95E3-48FA-BF5C-ED2F1792127C:Service Center ::San Antonio:TX:81620::::::::::::::::::3012610590:PRIORITY PARTNERS:HC:F05:U:Harris:U::Dialysis Facilities:********~
N1*IN*F9AF2FBD-B7C4-4DC6-893F-B7FB0BA30A5D*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*019000624**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/08/12 22*03**21.550*34****~
PER*IP**EM*BUSH*HP*LINDSEY*CP*A*~
N3**212313896~
N4*986 south Burleson boulevard**Burleson**CY*TX*~
DMG*D8*76028*: 98: 0: 0: 43340: 23:CHIRO CENTER:1454353:74987C3B-8DE1-4955-A384-47E14E4D3F9F:809 east Business 380::Decatur:TX:76234::::::::::::::::::3019630682:AMERIGROUP TEXAS INC:HC:F01:R:Johnson:U::HMO:********~
N1*IN*88833177-F310-4FA7-B7A9-E50E86404F6E*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*58097146299*Y*58097146199*A************~
REF*0F*635820914**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/06/10 22*03**21.550*34****~
PER*IP**EM*WILLIAMS*HP*RICARDO*CP**~
N3**220535603~
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N3**220377565~
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PER*IP**EM*BURCHETT*HP*ROBERT*CP*J*~
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N4*2706 east Highway 190**Copperas Cove**CY*TX*~
DMG*D8*76522*: 40: 0: 0: 86251: 20:ADVANCED RADIOLOGY:7355009:2E13B8B3-2A6A-4626-840E-AA8D68F3AC42:12400 farm road 1960 road west::Houston:TX:77065::::::::::::::::::4104623123:UNITED HEALTHCARE :HC:F05:U:Coryell:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/07/25 22*03**21.550*34****~
PER*IP**EM*ESCOBARMEJIA*HP*MARVIN*CP**~
N3**578310204~
N4*10950 highway 151**San Antonio**CY*TX*~
DMG*D8*78251*: 18: 0: 0: 26228: 20:UNION MEMORIAL HOSPITAL:1134515:4A9DD260-BFF4-4C92-BAAE-F95E7AD42A0A:6550 Bertner street::Houston:TX:77030::::::::::::::::::2404785910:AMERIGROUP TEXAS INC:HC:P13:P:Bexar:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/02/05 22*03**21.550*34****~
PER*IP**EM*ADAMS*HP*MATIYAS*CP*R*~
N3**216084797~
N4*1005 Austin street**Hempstead**CY*TX*~
DMG*D8*77445*: 195: 0: 0: 68002: 37:CHETNA  JHA:3423000:210E51E6-D588-4942-B1F8-D92241DBB8BE:3002 Heritage Way::Harlingen:TX:78550::::::::::::::::::4105168883:TEXAS PHYSICIANS CARE:HC:F05:F:Waller:U::Lithotripsy Facility:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 3*2009/04/24 22*03**21.550*34****~
PER*IP**EM*RIVERA*HP*SARAH*CP**~
N3**213411428~
N4*Interstate 10**San Antonio**CY*TX*~
DMG*D8*78230*: 104: 0: 0: 77472: 20:FAMILY MEDICAL ASSOCIATES:4685016:3B2FD37E-EEE5-4A33-8BDB-B1EAFCB9E540:11919 Preston road::Dallas:TX:75230::::::::::::::::::4105769526:AMERIGROUP TEXAS INC:HC:P13:P:Kimble:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/07/02 22*03**21.550*34****~
PER*IP**EM*LAYFIELD*HP*KAREN LEANN*CP*W*~
N3**226657122~
N4*2100 southeast Loop 410**San Antonio**CY*TX*~
DMG*D8*78220*: 18: 0: 0: 78465: 20:SINAI MEDICAL CLINIC:4848012:01E0033F-7BA5-4486-810C-E799EBA46DF4:1655 south Voss road::Houston:TX:77057::::::::::::::::::4102765937:PRIORITY PARTNERS:HC:F05:U:Bexar:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*357*D8* 27~
NM1*IL*1* 3*2008/12/13 22*03**21.550*34****~
PER*IP**EM*ASHLEY*HP*VESTA*CP*D*~
N3**212065089~
N4*255 Greens road**Houston**CY*TX*~
DMG*D8*77060*: 81: 0: 0: 81233: 20:CHO C  MAUNG TX PA:5479312:41CB554E-6F46-4EFE-8797-1BB34A189132:8420 Katy freeway::Spring Valley:TX:77024::::::::::::::::::3012203520:AMERIGROUP TEXAS INC:HC:F05:F:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/06/30 22*03**21.550*34****~
PER*IP**EM*PROCTOR*HP*TIA*CP*M*~
N3**217336156~
N4*1815 south Grand street**Amarillo**CY*TX*~
DMG*D8*79103*: 158: 0: 0: 35215: 20:SAM HOUSTON COMMUNITY PHYSICIANS:1285170:C243463A-BD54-4B17-845E-C4AEF19397C2:3600 Nolana avenue::Mcallen:TX:78504::::::::::::::::::2404734226:AMERIGROUP TEXAS INC:HC:F05:F:Potter:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*186110514**~
REF*1L* 1**~
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NM1*IL*1* 3*2008/09/28 22*03**21.550*34****~
PER*IP**EM*RHODES*HP*NABILA*CP*L*~
N3**220292872~
N4*2130 east Lincoln Way**Wooster**CY*TX*~
DMG*D8*44691*: 200: 0: 0: 67334: 20:SAM HOUSTON HEALTHCARE:3366014:E4D42B01-2596-4B5D-A0BE-5B16AC84303D:8503 Benbrook boulevard::Benbrook:TX:76126:::::::::::::::::::UNITED HEALTHCARE :HC:F05:F:Wayne:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*113110894**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/03/22 22*03**21.550*34****~
PER*IP**EM*HELMICK*HP*RYAN*CP*T*~
N3**213553305~
N4*5090 east Interstate 20 Service road south**Willow Park**CY*TX*~
DMG*D8*76087*: 151: 0: 0: 92874: 20:KEVIN SPERA:9729011:0C37C392-CC27-4CE5-92CF-B724CBB99F6D:200 University boulevard::Round Rock:TX:78665::::::::::::::::::4109528826:UNITED HEALTHCARE :HC:F05:U:Parker:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*421410464**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/02/05 22*03**21.550*34****~
PER*IP**EM*WILLIAMS*HP*S  MICHAEL*CP*S*~
N3**216252367~
N4*4730 south Alameda street**Corpus Christi**CY*TX*~
DMG*D8*78412*: 142: 0: 0: 55952: 20:PATRICK M OBRIEN:1930915:533D2DE6-43A4-41DA-B1AB-08F34A8AA3EE:1440 south Bowen road::Arlington:TX:76013::::::::::::::::::4108368431:PRIORITY PARTNERS:HC:F05:F:Nueces:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/01/09 22*03**21.550*34****~
PER*IP**EM*SIMMONS*HP*NATHANIEL B*CP**~
N3**225755328~
N4*2602 east Main street**Madisonville**CY*TX*~
DMG*D8*77864*: 119: 0: 0: 89580: 20:WILLIAM J. J RODRIGUEZ:7897111:5E8E4943-61FD-4A05-8809-86DFA76D7F8F:5001 east Expressway 83::Mercedes:TX:78570::::::::::::::::::3017230167:UNITED HEALTHCARE :HC:F05:F:Madison:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*618720294**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/05/04 22*03**21.550*34****~
PER*IP**EM*COX*HP*TAMEKA*CP*A*~
N3**216391456~
N4*450 Grapevine highway**Hurst**CY*TX*~
DMG*D8*76054*: 179: 0: 0: 87029: 20:MIEN-DOOR KIOUNE:7578415:C159521B-B08B-4EF4-9400-E56A9A148EAC:1401 west Glade road ::Grapevine:TX:76039::::::::::::::::::4432166706:AMERIGROUP TEXAS INC:HC:P08:P:Tarrant:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*55798919899*Y*14592964494*A************~
REF*0F*674010854**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/22 22*03**21.550*34****~
PER*IP**EM*COATES*HP*RALEIGH*CP*M*~
N3**215475542~
N4*2400 Alliance Gateway freeway**Fort Worth**CY*TX*~
DMG*D8*76248*: 179: 0: 0: 55415: 20:CHURCH HOSPITAL CORPORATION:1877411:52993AE2-4BA6-4B05-811C-7AE251138B31:101 Bowie street::San Antonio:TX:78205:::::::::::::::::::AMERIGROUP TEXAS INC:HC:P08:P:Tarrant:U::Dialysis Facilities:********~
N1*IN*12BF4616-C106-4737-83CE-4DBD4D0B7DFB*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*55496732099*Y*55496732099*A************~
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REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/27 22*03**21.550*34****~
PER*IP**EM*RILEY*HP*KAITLYN*CP*A*~
N3**217739138~
N4*2600 south Gregg street**Big Spring**CY*TX*~
DMG*D8*79720*: 89: 0: 0: 89199: 20:HOWARD UNIV PHYSICIANS:7859716:71F00B5B-7C4B-4526-970B-0A9A11576DF2:6539 Lake Worth boulevard::Lake Worth:TX:76135::::::::::::::::::4107474457:PRIORITY PARTNERS:HC:P07:P:Howard:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 5*2009/09/01 22*03**21.550*34****~
PER*IP**EM*MCCLURE*HP*OSCAR*CP**~
N3**217539207~
N4*6330 north Eldridge parkway**Houston**CY*TX*~
DMG*D8*77041*: 81: 0: 0: 89944: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:7939311:1BC37BB1-9E4D-4B6E-9628-05B080037262:2150 south highway 121::Lewisville:TX:75067::::::::::::::::::4437894572:MEDSTAR HEALTH:HC:F01:R:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/09 22*03**21.550*34****~
PER*IP**EM*ENNIS*HP*MORGAN*CP**~
N3**217410385~
N4*7410 Cullen boulevard**Houston**CY*TX*~
DMG*D8*77051*: 81: 0: 0: 62869: 20:MID ATLANTIC GLAUCOMA EXPERTS:3024032:F35CF85A-B72A-4A6A-9ECA-17296811C47F:200 north Dairy Ashford road::Houston:TX:77079::::::::::::::::::4107800485:UNITED HEALTHCARE :HC:P13:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*434700354**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/22 14*47**35.947*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
N1*IN*167B9170-174F-469F-ADF4-1C8B5CD617F6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*499910874**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/02/09 14*03**13.263*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082::::::::::::::::::4102471186:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
N1*IN*B568A3A4-1BC2-4021-AD7E-FD3EC9D28F85*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*424230744**~
REF*1L* 1**~
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DTP*356*D8* 32~
DTP*357*D8* 30~
NM1*IL*1* 3*2009/03/30 22*03**21.550*34****~
PER*IP**EM*STAUB*HP*NICKKIA*CP**~
N3**116920158~
N4*west University drive**Calma Estates Colonia**CY*TX*~
DMG*D8*78539*: 84: 0: 0: 90613: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:8144001:9F0D6BB8-90F5-42AB-AECC-AB4F9FE95521:1612 south University drive::Fort Worth:TX:76107::::::::::::::::::3013344166:UNITED HEALTHCARE :HC:D04:N:Hidalgo:U::Dialysis Facilities:********~
N1*IN*873A1339-CB21-48DC-9908-F8B55C9B9469*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*427920104**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/01/06 22*03**21.550*34****~
PER*IP**EM*DUVALL-RIVERA*HP*YEHEZKEL*CP**~
N3**577415107~
N4*10537 north Highway 359**Mathis**CY*TX*~
DMG*D8*78368*: 166: 0: 0: 36640: 20:HEALTH CARE FOR WOMEN  PA:1316007:CC56E710-FDFD-40C8-B6C0-4C52D29EE5B9:220 South Loop 336 west::Conroe:TX:77304::::::::::::::::::4103548202:AMERIGROUP TEXAS INC:HC:F05:U:San Patricio:U::Dialysis Facilities:********~
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REF*0F*809272610**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2009/05/13 22*03**21.550*34****~
PER*IP**EM*BROOKS*HP*SCOTT*CP**~
N3**218311159~
N4*212 north Avenue north**Johnson City**CY*TX*~
DMG*D8*78636*: 20: 0: 0: 88274: 20:DAVID C HALVERSON:7756313:E311A152-F769-4F5E-8CFD-CEBCB3966D94:6669 Gateway boulevard west::El Paso:TX:79925::::::::::::::::::4105493508:UNITED HEALTHCARE :HC:F05:F:Blanco:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*188820694**~
REF*1L* 1**~
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DTP*356*D8* 38~
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NM1*IL*1* 3*2009/08/10 22*03**21.550*34****~
PER*IP**EM*GRANADOS*HP*LLESENIA*CP**~
N3**215732044~
N4*6921 Military drive west**San Antonio**CY*TX*~
DMG*D8*78227*: 18: 0: 0: 62930: 20:COMMUNITY RADIOLOGY ASSO:3029611:C3FD3282-3053-4BC2-BC81-54AAD32BE5F7:6001 Hillcroft ::Houston:TX:77085::::::::::::::::::3013732587:AMERIGROUP TEXAS INC:HC:P13:P:Bexar:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*387410394**~
REF*1L* 1**~
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NM1*IL*1* 2*2010/01/06 14*56**10.810*34****~
PER*IP**EM*BROWN*HP*KEVIN*CP**~
N3**219816296~
N4*860 interstate20 east**Arlington**CY*TX*~
DMG*D8*76018*: 179: 0: 0: 77619: 71:NOAH I LIGHTMAN:4704924:82176EC8-A05F-49C9-9FA0-5330E51BCAED:1500 west 35th street::Austin:TX:78703::::::::::::::::::3013735392:TEXAS PHYSICIANS CARE:HC:::Tarrant:U::Unknown. Code MC:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*816200614**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2009/03/04 22*03**21.550*34****~
PER*IP**EM*REDMOND*HP*MIRACLE*CP*A*~
N3**217275523~
N4*620 south Interstate 35**Georgetown**CY*TX*~
DMG*D8*78628*: 212: 0: 0: 40277: 20:SAM HOUSTON BAYVIEW PHYSICIANS  P:1425024:A79799A5-D7EC-40E6-87FD-6901F9D577E4:200 north Dairy Ashford road::Houston:TX:77079::::::::::::::::::4104003429:TEXAS PHYSICIANS CARE:HC:F05:F:Williamson:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*803330234**~
REF*1L* 1**~
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DTP*356*D8* 14~
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NM1*IL*1* 3*2009/05/03 22*03**21.550*34****~
PER*IP**EM*TURZAK*HP*MUKESH*CP**~
N3**216736130~
N4*450 Grapevine highway**Hurst**CY*TX*~
DMG*D8*76054*: 179: 0: 0: 34083: 20:KARYN KASSIS:1260036:7CA4D94D-EB71-40DE-8DE9-7C24DE1E574B:1400 east Northwest highway::Grapevine:TX:76051::::::::::::::::::2403627627:UNITED HEALTHCARE :HC:P07:P:Tarrant:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*54196096199*Y*54196095999*A************~
REF*0F*434700354**~
REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2010/01/22 14*47**35.273*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
N1*IN*67166446-7912-485D-85B1-CAECFC454CC9*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*404030124**~
REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2009/11/20 09*48**07.880*34****~
PER*IP**EM*OHANELE*HP*PRINCAYA*CP**~
N3**213753398~
N4*8315 highway 78**Converse**CY*TX*~
DMG*D8*78109*: 18: 0: 0: 23219: 20:ASHLAND REHAB CENTER:0688509:051E853B-5C72-4A0D-B2C4-91E9CA6A349E:3855 northeast Loop 286::Paris:TX:75460:: 12:::::::::::::::::TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
N1*IN*580657B4-AA0C-427A-9A75-2246EF158D2E*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*59397294799*Y*59397294799*A************~
REF*0F*206057030**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/09/06 22*03**21.550*34****~
PER*IP**EM*BURNS*HP*MICHAEL*CP**~
N3**213495739~
N4*14700 Westheimer road**Houston**CY*TX*~
DMG*D8*77082*: 81: 0: 0: 76085: 20:TANNAZ POURSAEID:4432614:2FC5125E-533C-45C5-BD24-4D31A3206047:918 north Belt Line road::Grand Prairie:TX:75050::::::::::::::::::4102878212:UNITED HEALTHCARE :HC:P08:P:Harris:U::Dialysis Facilities:********~
N1*IN*0B15BA23-E09E-4841-8925-C14A379D13AF*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*54796668099*Y*54796667999*A************~
REF*0F*713330254**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/10/08 22*03**21.550*34****~
PER*IP**EM*SALDANA*HP*MILON*CP*A*~
N3**120920107~
N4*2260 north Expressway **Brownsville**CY*TX*~
DMG*D8*78521*: 31: 0: 0: 73008: 20:WEST AUSTIN DENTAL:4023111:9E77AA8F-4D63-46A2-AD81-323FBCA91B03:3193 Main street::Frisco:TX:75034::::::::::::::::::3015627942:PRIORITY PARTNERS:HC:P07:P:Cameron:U::Dialysis Facilities:********~
N1*IN*4B8E1C59-58C4-43D5-BA89-EBD02F4EE0B0*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*56197087599*Y*53296702399*A************~
REF*0F*981720714**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/28 22*03**21.550*34****~
PER*IP**EM*HARRIS*HP*MELISSE*CP*C*~
N3**216676636~
N4*5404 south Cooper street**Arlington**CY*TX*~
DMG*D8*76017*: 179: 0: 0: 83647: 20:MARCEL BROOKS:6435611:A24FC018-D5F4-456F-8570-6A7824859AF3:3170 southeast Military drive::San Antonio:TX:78223::::::::::::::::::4106581246:UNITED HEALTHCARE :HC:P07:P:Tarrant:U::Dialysis Facilities:********~
N1*IN*3D5CBB58-D4A4-4D4F-B30B-114FDDC9471F*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*58998228799*Y*58998228799*A************~
REF*0F*217710014**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 67~
DTP*357*D8* 26~
NM1*IL*1* 3*2009/09/02 22*03**21.550*34****~
PER*IP**EM*SMITH*HP*LA'VON*CP*D*~
N3**215530782~
N4*6110 north Fry road**Katy**CY*TX*~
DMG*D8*77449*: 81: 0: 0: 37092: 20:MYRA C GRISSOM:1342312:7473C2D7-E4EB-4ADC-8779-21D7E304FA48:11745 west interstate10::San Antonio:TX:78230::::::::::::::::::4438581735:UNITED HEALTHCARE :HC:E01:E:Harris:U::Dialysis Facilities:********~
N1*IN*2F16B0CD-7704-440B-ADDE-B0083D832155*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*7C7755C6-E8C2-4226-9309-924580B5CB1A*53397768899*Y*53397768899*A************~
REF*0F*904110054**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/06/30 22*03**21.550*34****~
PER*IP**EM*BRYSON*HP*KAYLA*CP*M*~
N3**213597594~
N4*2401 north Mesa street**El Paso**CY*TX*~
DMG*D8*79902*: 54: 0: 0: 24305: 20:HARFORD IMAGINIG:0804215:E8227F60-9EE6-416A-BBF8-71B35BB41F55:1025 west Hebron parkway::Carrollton:TX:75007::::::::::::::::::2022104457:MEDSTAR HEALTH:HC:F05:U:El Paso:U::Dialysis Facilities:********~
N1*IN*C90B8634-1F03-4811-9912-0A68D1B83143*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*58097956699*Y*55498330199*A************~
REF*0F*624920604**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/22 22*03**21.550*34****~
PER*IP**EM*LIBERTO*HP*WESTLY*CP*V*~
N3**219555983~
N4*1240 north Mechanic street**El Campo**CY*TX*~
DMG*D8*77437*: 204: 0: 0: 89793: 20:SHOCK TRAUMA:7923104:0BDF6DC6-5DDF-4ABA-B21F-A523F2CDF3DA:11611 Katy freeway::Houston:TX:77079::::::::::::::::::3015820810:UNITED HEALTHCARE :HC:P08:P:Wharton:U::Dialysis Facilities:********~
N1*IN*E43226E3-704C-45BB-A8C8-C841B36ED31B*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*7C7755C6-E8C2-4226-9309-924580B5CB1A*56296722899*Y*56296722899*A************~
REF*0F*077230734**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/05/04 22*03**21.550*34****~
PER*IP**EM*FLORES*HP*MARLON*CP**~
N3**648327787~
N4*4190 north Chateau Fresno avenue**Fresno**CY*TX*~
DMG*D8*93723*: 63: 0: 0: 58090: 20:JERRY M SHIER:2190028:5440D7ED-CCA8-4133-89F5-AEE5E764BEE8:1403 Main street::Southlake:TX:76092::::::::::::::::::2404180236:MEDSTAR HEALTH:HC:P13:P:Fresno:U::Dialysis Facilities:********~
N1*IN*5CC0EDC8-2160-46E4-B343-CC9366EE4BDB*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*56197262499*Y*56197262499*A************~
REF*0F*751410474**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/07 22*03**21.550*34****~
PER*IP**EM*BANKS*HP*THRESSA*CP*R*~
N3**511177926~
N4*4920 Kirby drive**Houston**CY*TX*~
DMG*D8*77098*: 81: 0: 0: 34531: 20:UMD UNIVERSITYCARE:1269038:69BFC8D5-E7F9-466E-92F6-69AC7F02EC5E:3000 Research Forest drive::The Woodlands:TX:77381::::::::::::::::::3018715567:TEXAS PHYSICIANS CARE:HC:P13:P:Harris:U::Dialysis Facilities:********~
N1*IN*DE2ED399-AD82-442B-9390-7050D81DE787*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*69093344069*Y*69093344069*A************~
REF*0F*418310074**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/08 22*03**21.550*34****~
PER*IP**EM*HENDRICKS*HP*LANE*CP*I*~
N3**055828935~
N4*1914 Aldine Bender road**Aldine**CY*TX*~
DMG*D8*77032*: 81: 0: 0: 60308: 20:EMERGENCY PHYS ASSOC OF TX:2593025:2C973600-8D07-43BB-B41D-A1D491F2839D:4112 north Josey lane::Carrollton:TX:75007::::::::::::::::::2406948107:PRIORITY PARTNERS:HC:P13:P:Harris:U::Dialysis Facilities:********~
N1*IN*F686D104-4DAC-49D3-A5F6-D8BD28164D40*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*52097203899*Y*52697988299*A************~
REF*0F*291710794**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/12 22*03**21.550*34****~
PER*IP**EM*ESPINO*HP*SUSAN*CP**~
N3**213675738~
N4*1548 highway 685**Pflugerville**CY*TX*~
DMG*D8*78660*: 184: 0: 0: 60899: 20:SAM HOUSTON COMMUNITY PHYSICIANS:2708710:82B331AF-80CE-4FE5-AA0D-E141544F22C0:302 Grapevine highway::Hurst:TX:76054::::::::::::::::::4108352211:AMERIGROUP TEXAS INC:HC:P13:P:Travis:U::Dialysis Facilities:********~
N1*IN*538D7930-8A81-4667-B597-BF9E85230454*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*55498228599*Y*51196734799*A************~
REF*0F*407500914**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/15 22*03**21.550*34****~
PER*IP**EM*GUTIERREZ*HP*KEVIN*CP*E*~
N3**217531065~
N4*3320 south Coulter street**Amarillo**CY*TX*~
DMG*D8*79106*: 161: 0: 0: 83280: 20:ROCKVILLE DENTAL ARTS:6221211:E97321C9-6DE3-405D-BAF0-F5A73629C10F:11220 highway 2222::Austin:TX:78730::::::::::::::::::3013221909:AMERIGROUP TEXAS INC:HC:P13:P:Randall:U::Dialysis Facilities:********~
N1*IN*850DBAB4-60D6-477B-B889-2CE8AD4363E6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*69200598319*Y*57196992699*A************~
REF*0F*564210044**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/02/19 22*03**21.550*34****~
PER*IP**EM*WILSON*HP*KAMRAN*CP*A*~
N3**212883697~
N4*1025 north Texas boulevard**Weslaco**CY*TX*~
DMG*D8*78596*: 84: 0: 0: 492: 2:KESHA J STEPHENSON:0007153:BCF76113-D4CE-4A6E-B720-3A9033FD2AFB:3715 Greenville avenue::Dallas:TX:75206::::::::::::::::::4106366357:AMERIGROUP TEXAS INC:HC:F05:F:Hidalgo:U::Ambulance Services:********~
N1*IN*8AACC82B-A0B5-4AED-920E-13124A625FC7*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*14550967809*Y*14550967809*A************~
REF*0F*642800034**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/03/25 22*03**21.550*34****~
PER*IP**EM*COFIELL*HP*VICTORIA*CP**~
N3**212733345~
N4*14450 Memorial drive**Houston**CY*TX*~
DMG*D8*77079*: 81: 0: 0: 21130: 20:BURGER ZAPF  M D   P A:0413011:747FCFDD-AB68-4852-95B5-5C29DD84DB9E:3217 Sherwood Way::San Angelo:TX:76901::::::::::::::::::2405655378:AMERIGROUP TEXAS INC:HC:F05:U:Harris:U::Dialysis Facilities:********~
N1*IN*29678DD9-A540-43AA-ABFE-E8729573D1C6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*69066127229*Y*56298134499*A************~
REF*0F*278339030**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/11/24 22*03**21.550*34****~
PER*IP**EM*BALLOU*HP*TAMIYA*CP*M*~
N3**219889604~
N4*2021 Morgan avenue**Corpus Christi**CY*TX*~
DMG*D8*78405*: 142: 0: 0: 57741: 35:PARNES   MAY  M D   P A:2156814:73CABE96-0C43-4DEB-9A92-638FA2314707:201 Main street::Streetman:TX:75859::::::::::::::::::4106825396:TEXAS PHYSICIANS CARE:HC:F05:U:Nueces:U::Kidney Disease Program:********~
N1*IN*167B9170-174F-469F-ADF4-1C8B5CD617F6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*55796690599*Y*52198000599*A************~
REF*0F*499910874**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/02/09 15*29**04.620*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 458: 20:RIO GRANDE PHYSICIANS  PA:0006840:671F320F-827F-4EFE-A682-445D1B161479:2201 Lakeside boulevard::Richardson:TX:75082::::::::::::::::::4102471186:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
N1*IN*897FD385-1433-4520-AC78-6795F182C454*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*56496821899*Y*56496821899*A************~
REF*0F*165010724**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/10/31 22*03**21.550*34****~
PER*IP**EM*PROCTOR*HP*VATROSLAV*CP*D*~
N3**577377018~
N4*3601 highway 407**Justin**CY*TX*~
DMG*D8*76247*: 49: 0: 0: 35215: 20:SAM HOUSTON COMMUNITY PHYSICIANS:1285170:C243463A-BD54-4B17-845E-C4AEF19397C2:3600 Nolana avenue::Mcallen:TX:78504::::::::::::::::::2404734226:AMERIGROUP TEXAS INC:HC:F05:F:Denton:U::Dialysis Facilities:********~
N1*IN*2B7C445E-DE5F-4FE6-807D-7EC2404178AE*FI*123456789**~
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PER*IP**EM*PHILLIPS*HP*PARKWEST*CP*S*~
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N4*112 east Edinburg avenue**Elsa**CY*TX*~
DMG*D8*78543*: 84: 0: 0: 65106: 35:ROTHSCHILD'S ORTHOPEDIC APPLIA:3141616:5627F095-CF40-456B-B747-FA544E91E1E4:3805 Atascocita road::Atascocita:TX:77396:::::::::::::::::::TEXAS PHYSICIANS CARE:PAC:S09:N:Hidalgo:U::Kidney Disease Program:********~
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NM1*IL*1* 3*2008/10/29 22*03**21.550*34****~
PER*IP**EM*MILLER*HP*TERRYANN*CP**~
N3**218317616~
N4*1315 west American boulevard**Muleshoe**CY*TX*~
DMG*D8*79347*: 10: 0: 0: 81138: 20:TOTAL HEALTH CARE:5467713:3736B431-E286-463F-9226-5F7A9767DA30:1699 Laguna drive ::Rockwall:TX:75087::::::::::::::::::3013126157:UNITED HEALTHCARE :HC:F05:F:Bailey:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 3*2009/04/09 22*03**21.550*34****~
PER*IP**EM*THOMAS*HP*SAMAI*CP*L*~
N3**218315579~
N4*923 south Brazosport boulevard**Freeport**CY*TX*~
DMG*D8*77541*: 22: 0: 0: 17365: 20:LAWRENCE CONGER:0190713:89FE8159-BCED-4C7B-AE3F-57EF918A558B:4151 east Renner road::Richardson:TX:75082::::::::::::::::::4104338969:AMERIGROUP TEXAS INC:HC:F05:F:Brazoria:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 2*2010/01/22 14*40**00.417*34****~
PER*IP**EM*ARISTIDOU*HP*MARCUS*CP**~
N3**219591049~
N4*7719 west Bellfort street**Houston**CY*TX*~
DMG*D8*77071*: 81: 0: 0: 13540: 20:U M ANESTHESIOLOGY ASSOC:0145157:427CC6FB-0B76-46AA-9567-4E242AA524A3:12605 Gessner road::Houston:TX:77064::::::::::::::::::4405274036:TEXAS PHYSICIANS CARE:HC:::Harris:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/04/01 22*03**21.550*34****~
PER*IP**EM*DORSEY*HP*WENDY*CP*M*~
N3**217454337~
N4*4690 Southmost road**Brownsville**CY*TX*~
DMG*D8*78521*: 31: 0: 0: 36472: 20:RICHARD E E BROTH:1312111:0C2CA66C-74E7-4945-B31D-90C41CA25C08:851 north interstate35e south::Desoto:TX:75115::::::::::::::::::4109331360:TEXAS PHYSICIANS CARE:HC:F01:R:Cameron:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2009/03/09 22*03**21.550*34****~
PER*IP**EM*SANTIAGO*HP*MARIA*CP*M*~
N3**584329580~
N4*3112 north Navarro street**Victoria**CY*TX*~
DMG*D8*77901*: 192: 0: 0: 72804: 20:BMS:4004001:D5DC240D-5ACF-4964-AD28-9E454455FE4F:5535 Memorial drive::Houston:TX:77007::::::::::::::::::3015871600:TEXAS PHYSICIANS CARE:HC:F05:F:Victoria:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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NM1*IL*1* 4*2009/11/24 15*36**02.933*34****~
PER*IP**EM*KEENE*HP*OLIVIA*CP*G*~
N3**~
N4*400 north Bypass 35**Alvin**CY*TX*~
DMG*D8*77511*: 22: 0: 0: 24980: 20:A A ALECCE:0907880:B9116CC1-A25C-4E7A-AB67-14DB4DF52D53:4603 Camp Bowie boulevard::Fort Worth:TX:76107:: 120::::::::::::::::4438508750:COVENTRY HEALTH CARE OF TEXAS:HC:::Brazoria:U::Dialysis Facilities:********~
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REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 2*2009/11/20 13*12**40.550*34****~
PER*IP**EM*BROWN*HP*THOMAS*CP*S*~
N3**~
N4*430 south Yarbrough drive**El Paso**CY*TX*~
DMG*D8*79915*: 54: 0: 0: 90273: 20:AMERICAN RADIOLOGY:7998911:F68CA806-21B2-43E1-8CEB-E593AFB9A165:4720 Sweetwater boulevard::Sugar Land:TX:77479:::GJHJHVHJV: 1:JHJHJHJH:2009/10/25 00:00:00.000:Test:test:test:TN:78987:6465:1234567890:::::4437088373:TEXAS PHYSICIANS CARE:HC:::El Paso:U::Dialysis Facilities:1********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/02/11 14*23**05.520*34****~
PER*IP**EM*TAN*HP*MARC*CP**~
N3**212519262~
N4*819 Sheppard road**Burkburnett**CY*TX*~
DMG*D8*76354*: 209: 0: 0: 213: 20:GBMC DEPT OF CARDIOLOGY:0003484:ECF92734-8647-4F77-AF6E-D68B9DB53535:5435 south Cooper street::Arlington:TX:76017::::::::::::::::::4104516106:TEXAS PHYSICIANS CARE:HC:::Wichita:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*986000254**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2008/11/20 22*03**21.550*34****~
PER*IP**EM*BUSH*HP*TREVONT*CP*E*~
N3**218519233~
N4*4915 Main street**The Colony**CY*TX*~
DMG*D8*75056*: 49: 0: 0: 68804: 20:EMERGENCY PHYS ASSOC OF PA PC:3515613:B6447FCD-4EDF-4904-9D00-DE4D73305DE9:8250 Agora parkway::Selma:TX:78154::::::::::::::::::4438294911:AMERIGROUP TEXAS INC:HC:F05:U:Denton:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*564210044**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/11/17 22*03**21.550*34****~
PER*IP**EM*WILSON*HP*ORANMIYAN*CP*C*~
N3**215556407~
N4*3801 west Highway 31**Corsicana**CY*TX*~
DMG*D8*75110*: 140: 0: 0: 492: 2:KESHA J STEPHENSON:0007153:BCF76113-D4CE-4A6E-B720-3A9033FD2AFB:3715 Greenville avenue::Dallas:TX:75206::::::::::::::::::4106366357:AMERIGROUP TEXAS INC:HC:F05:F:Navarro:U::Ambulance Services:********~
N1*IN*FAFC97C6-6692-41EB-B009-1E134713910C*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*55396969899*Y*55396969899*A************~
REF*0F*103030644**~
REF*1L* 1**~
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DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/05/03 22*03**21.550*34****~
PER*IP**EM*MASON*HP*MIKE*CP*J*~
N3**212172175~
N4*6901 highway 6 south**Houston**CY*TX*~
DMG*D8*77083*: 81: 0: 0: 39080: 20:EASTON DERMATOLOGY ASSOCIATES:1388002:7DDDED3F-D625-427F-9DC0-47B40F141EAA:6151 Denton highway::Haltom City:TX:76148:::::::::::::::::::UNITED HEALTHCARE :HC:F01:R:Harris:U::Dialysis Facilities:********~
N1*IN*7B3ED9F0-CADF-46F4-9F08-B2E47B338457*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*97827646349*Y*97827646349*A************~
REF*0F*353271200**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2009/11/26 10*26**15.817*34****~
PER*IP**EM*CLARK*HP*SARAH*CP**~
N3**213965405~
N4*10001 Woodlands parkway**Spring**CY*TX*~
DMG*D8*77382*: 136: 0: 0: 90412: 20:WILLIAM P GEIS:8024022:838363CD-1F6A-4D6E-B24D-4DD3156D5703:8500 Main street::Houston:TX:77025::::::::::::::::::4436058670:TEXAS PHYSICIANS CARE:HC:::Montgomery:U::Dialysis Facilities:********~
N1*IN*DE12D118-1C65-4DF4-B2E3-DB37225A35E3*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*FCA749D6-B94B-4566-85EE-4601E6E6FEA6*59198016599*Y*59198016399*A************~
REF*0F*438910804**~
REF*1L* 1**~
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DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 4*2010/01/15 12*03**51.360*34****~
PER*IP**EM*ZARE*HP*MICHAEL*CP**~
N3**615383071~
N4*1220 east Main street**Alice**CY*TX*~
DMG*D8*78332*: 95: 0: 0: 22734: 20:VINCENT J MARMO:0625817:4FBD5225-34F7-4928-BDB8-9941D6C42A6F:10496 Katy freeway::Houston:TX:77043:: 119::::::::::::::::4105630753:COVENTRY HEALTH CARE OF TEXAS:HC:::Jim Wells:U::Dialysis Facilities:********~
N1*IN*06BDF5E2-8E76-4707-A574-79AB9AFEF3DC*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*54796668199*Y*54796667999*A************~
REF*0F*713330254**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/02/18 22*03**21.550*34****~
PER*IP**EM*SALDANA*HP*VLADI*CP*E*~
N3**067884183~
N4*Dunning Road route 67**Malta**CY*TX*~
DMG*D8*12020*: 167: 0: 0: 73008: 20:WEST AUSTIN DENTAL:4023111:9E77AA8F-4D63-46A2-AD81-323FBCA91B03:3193 Main street::Frisco:TX:75034::::::::::::::::::3015627942:PRIORITY PARTNERS:HC:P08:P:Saratoga:U::Dialysis Facilities:********~
N1*IN*6C12C67F-7A67-4A97-831A-3698B8D8CC71*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*98954283089*Y*98954283089*A************~
REF*0F*425720100**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/08/13 22*03**21.550*34****~
PER*IP**EM*BURLEY*HP*TYLER*CP*J*~
N3**213336195~
N4*1733 west Oaklawn drive**Pleasanton**CY*TX*~
DMG*D8*78064*: 7: 0: 0: 40277: 20:SAM HOUSTON BAYVIEW PHYSICIANS  P:1425024:A79799A5-D7EC-40E6-87FD-6901F9D577E4:200 north Dairy Ashford road::Houston:TX:77079::::::::::::::::::4104003429:TEXAS PHYSICIANS CARE:HC:P08:P:Atascosa:U::Dialysis Facilities:********~
N1*IN*7DAE388D-E25B-47FF-A686-D741F04BD036*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*69067316259*Y*69067316059*A************~
REF*0F*977310274**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 5*2009/09/07 22*03**21.550*34****~
PER*IP**EM*CURRY*HP*KENDRICK*CP*D*~
N3**215866169~
N4*911 southwest Wilshire boulevard**Burleson**CY*TX*~
DMG*D8*76028*: 98: 0: 0: 75938: 20:TEXAS NEUROLOGICAL CENTER:4415051:B31F2892-7D3A-4B24-84EB-9017FFC8EB7A:13450 Research boulevard::Austin:TX:78750::::::::::::::::::4102987997:AMERIGROUP TEXAS INC:HC:F05:F:Johnson:U::Dialysis Facilities:********~
N1*IN*8FD3A70F-C60A-4204-A9D3-80E29F19E456*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*69062237249*Y*69062237069*A************~
REF*0F*267739030**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2008/12/24 22*03**21.550*34****~
PER*IP**EM*WILLIAMS*HP*LATONYA*CP*D*~
N3**107600720~
N4*north Zaragosa road**El Paso**CY*TX*~
DMG*D8*79936*: 54: 0: 0: 87676: 20:UNIV OF TX MED GRP ENDO:7657811:5C6094D9-50E3-44FB-9CD6-187C6E5EE360:11623 Southwest freeway::Houston:TX:77031::::::::::::::::::4433780331:UNITED HEALTHCARE :HC:F01:R:El Paso:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2009/08/02 22*03**21.550*34****~
PER*IP**EM*JOHNSON*HP*VIRGINIA*CP**~
N3**521632276~
N4*1603 Vance Jackson road**San Antonio**CY*TX*~
DMG*D8*78213*: 18: 0: 0: 23389: 20:CLINIC  UNITY HEALTH CARE:0700614:D2E9E8CA-9DB6-4F36-820A-F26B71C26B96:1525 south Mason road::Katy:TX:77450::::::::::::::::::4437906302:UNITED HEALTHCARE :HC:P02:P:Bexar:U::Dialysis Facilities:********~
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NM1*IL*1* 3*2008/10/18 22*03**21.550*34****~
PER*IP**EM*MATTHEWS*HP*KATERINA*CP**~
N3**216085861~
N4*101 east Broadway street**Cuero**CY*TX*~
DMG*D8*77954*: 50: 0: 0: 58278: 20:UNIV OF TX SURGICAL ASSOC:2206617:59D3D0A7-32AA-4468-AB72-1005C066C5E2:2908 Kemp boulevard::Wichita Falls:TX:76308:::::::::::::::::::PRIORITY PARTNERS:HC:F05:U:DeWitt:U::Dialysis Facilities:********~
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REF*0F*041600394**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/12/22 22*03**21.550*34****~
PER*IP**EM*WHITE*HP*SHERRY*CP*A*~
N3**212849478~
N4*1911 4th street**Lubbock**CY*TX*~
DMG*D8*79401*: 117: 0: 0: 20735: 20:SURGICAL ASSOCIATES CHARTERED:0311111:A3EDC122-D926-4C7F-9199-03B85761CD5F:4668 southwest Loop 820::Fort Worth:TX:76109::::::::::::::::::4106760843:UNITED HEALTHCARE :HC:F05:U:Lubbock:U::Dialysis Facilities:********~
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REF*0F*674010854**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/04/19 22*03**21.550*34****~
PER*IP**EM*SPEAKS*HP*LAURA*CP*A*~
N3**213651701~
N4*10450 Northwest freeway**Houston**CY*TX*~
DMG*D8*77092*: 81: 0: 0: 55415: 20:CHURCH HOSPITAL CORPORATION:1877411:52993AE2-4BA6-4B05-811C-7AE251138B31:101 Bowie street::San Antonio:TX:78205:::::::::::::::::::AMERIGROUP TEXAS INC:HC:P08:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*294430494**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/07 22*03**21.550*34****~
PER*IP**EM*SINLAO*HP*VICTORIA*CP**~
N3**535475083~
N4*303 north Green street**Caldwell**CY*TX*~
DMG*D8*77836*: 27: 0: 0: 78551: 20:UNIVERSITY:4868412:7A456B1C-6184-41DD-9E03-E332070774B9:301 Southwest Plz::Arlington:TX:76016::::::::::::::::::3018792627:AMERIGROUP TEXAS INC:HC:P13:P:Burleson:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/11/03 22*03**21.550*34****~
PER*IP**EM*RICHARDSON*HP*PATTY*CP*A*~
N3**164583320~
N4*2770 south M 33**Rose City**CY*TX*~
DMG*D8*48654*: 144: 0: 0: 40297: 20:PREMIER MEDICAL ASSOC LLC:1428811:9C9365ED-5768-4238-81AB-34E76F80FCF8:9105 West Sam Houston parkway north::Houston:TX:77064:::::::::::::::::::COVENTRY HEALTH CARE OF TEXAS:HC:F05:U:Ogemaw:U::Dialysis Facilities:********~
N1*IN*004153F8-A4BA-4363-99D2-2A969FDF19D6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*479250004**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/09/04 22*03**21.550*34****~
PER*IP**EM*CUNNINGHAM*HP*KIMBERLYN*CP*N*~
N3**212045233~
N4*1250 north Holland road**Mansfield**CY*TX*~
DMG*D8*76063*: 179: 0: 0: 92190: 20:CHESAPEAKE ORTHOPAEDIC   SPORT:9346759:99F40789-836E-4C41-85C8-6FE538F262B1:727 south Central expressway::Fairview:TX:75013::::::::::::::::::3014456684:JAI MEDICAL SYSTEMS :HC:F05:F:Tarrant:U::Dialysis Facilities:********~
N1*IN*B7DA38C8-66B5-4F7E-BBF7-BA6BEF4329C2*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*876710854**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/08/16 22*03**21.550*34****~
PER*IP**EM*BROWN*HP*KHALIL*CP*L*~
N3**214597360~
N4*north Zaragosa road**El Paso**CY*TX*~
DMG*D8*79936*: 54: 0: 0: 71186: 20:JOHN A BUONOCORE:3767515:F0608910-4868-4ECF-A740-6F43157FFC0F:5630 Saratoga boulevard::Corpus Christi:TX:78414::::::::::::::::::3015591318:PRIORITY PARTNERS:HC:P08:P:El Paso:U::Dialysis Facilities:********~
N1*IN*1C712E85-CE26-4110-8FA7-E2A1CEB1F119*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*57197337299*Y*52196394999*A************~
REF*0F*594310754**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2009/06/09 22*03**21.550*34****~
PER*IP**EM*SMITH*HP*KEYONA*CP*D*~
N3**212654937~
N4*1603 Vance Jackson road**San Antonio**CY*TX*~
DMG*D8*78213*: 18: 0: 0: 29287: 71:JAMES A RONAN:1220387:DBCC37B6-33AB-48E9-A388-FF5D82C0EF41:5321 Broadway::Alamo Heights:TX:78209::::::::::::::::::3012471213:PRIORITY PARTNERS:HC:F05:U:Bexar:U::Unknown. Code MC:********~
N1*IN*7F7A4076-AC6B-4EE5-B3AA-955D6A77BD66*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*52798060699*Y*52798060699*A************~
REF*0F*738110294**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/05/02 22*03**21.550*34****~
PER*IP**EM*LINTON*HP*NEENA*CP**~
N3**215553041~
N4*498 Main street**Cushing**CY*TX*~
DMG*D8*75760*: 139: 0: 0: 20429: 20:MIDATLANTIC NEPHROLOGY ASSOC:0280119:AD84C2C7-58AE-4CE3-8D33-C6C2BBCBDEAC:2900 west Anderson lane::Austin:TX:78757::::::::::::::::::2403463677:UNITED HEALTHCARE :HC:P13:P:Nacogdoches:U::Dialysis Facilities:********~
N1*IN*C93D2F28-BD9E-4DE7-84E0-FAC6D4F15435*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*55596828499*Y*55596828499*A************~
REF*0F*317130444**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/16 22*03**21.550*34****~
PER*IP**EM*REYNOSO-TOJIL*HP*TIARA*CP**~
N3**219711226~
N4*306 west University drive**Denton**CY*TX*~
DMG*D8*76201*: 49: 0: 0: 71184: 20:PRIMARY CARE MID-ATLANTIC  LLC:3767515:1AED947D-42ED-4B1E-A50C-54214C30839D:5601 south Padre Island drive::Corpus Christi:TX:78411::::::::::::::::::4105045458:PRIORITY PARTNERS:HC:P07:P:Denton:U::Dialysis Facilities:********~
N1*IN*6DFBB542-A642-4F3F-BFFE-C6389FDAD854*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*57596726699*Y*57596726699*A************~
REF*0F*896200284**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 39~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/27 22*03**21.550*34****~
PER*IP**EM*CARR*HP*TAEVYON*CP**~
N3**233518530~
N4*1500 north highway 285**Fort Stockton**CY*TX*~
DMG*D8*79735*: 153: 0: 0: 89491: 20:COMMUNITY HEALTHCARE NETWORK:7887116:BF1F4619-E293-4B0B-9901-2A9826B63FD8:3824 south Carrier parkway::Grand Prairie:TX:75052::::::::::::::::::2025538369:TEXAS PHYSICIANS CARE:HC:P14:P:Pecos:U::Dialysis Facilities:********~
N1*IN*DD17FCE9-5724-4879-98E0-281C5546C4C1*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*83700615199*Y*51796706699*A************~
REF*0F*222900374**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 47~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/04/25 22*03**21.550*34****~
PER*IP**EM*MARTIN*HP*LATOYA*CP*C*~
N3**213042215~
N4*1720 south Ross street**Amarillo**CY*TX*~
DMG*D8*79102*: 158: 0: 0: 57398: 20:SAM HOUSTON SCHOOL OF MEDICINE:2127113:AADD0F2F-969E-44FF-9C8E-2239CB3BCD64:3930 Glade road::Colleyville:TX:76034::::::::::::::::::3012621915:AMERIGROUP TEXAS INC:HC:F02:F:Potter:U::Dialysis Facilities:********~
N1*IN*A1F89C7D-7784-46D9-99B0-260FD8F5B7E8*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*33613FB6-5A24-4712-BA72-59CE591E05A0*69476825109*Y*54696130999*A************~
REF*0F*406420554**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2008/10/17 22*03**21.550*34****~
PER*IP**EM*DORSEY*HP*NICOLE*CP**~
N3**216251563~
N4*2501 north Main street**Taylor**CY*TX*~
DMG*D8*76574*: 212: 0: 0: 62569: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:2996502:CCD6FA7C-4950-4967-8C73-FB06DCC91D94:1787 north Central expressway::Mc Kinney:TX:75070::::::::::::::::::4105632153:JAI MEDICAL SYSTEMS :HC:F01:R:Williamson:U::Dialysis Facilities:********~
N1*IN*E31909AB-2136-4D62-9E77-21ADBAEE9AB6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*53997631799*Y*53997631799*A************~
REF*0F*368760120**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/07/30 22*03**21.550*34****~
PER*IP**EM*KNAPP*HP*TRAVIS*CP*P*~
N3**212595757~
N4*464 east Main street**Crowley**CY*TX*~
DMG*D8*76036*: 179: 0: 0: 72804: 20:BMS:4004001:D5DC240D-5ACF-4964-AD28-9E454455FE4F:5535 Memorial drive::Houston:TX:77007::::::::::::::::::3015871600:TEXAS PHYSICIANS CARE:HC:P08:P:Tarrant:U::Dialysis Facilities:********~
N1*IN*603411F6-49E4-4827-99CA-0E7A2D090695*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*58196153999*Y*58196153899*A************~
REF*0F*854830814**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/11/25 22*03**21.550*34****~
PER*IP**EM*AMAYAPENA*HP*LUIS*CP**~
N3**228893002~
N4*2250 east Loop 820**Fort Worth**CY*TX*~
DMG*D8*76112*: 179: 0: 0: 70991: 20:SCHULTZE SNIDER ASSOCIATES:3748413:3C84AFAC-82AE-4A18-A978-9DE9466B8B94:1021 west University avenue::Georgetown:TX:78628:::::::::::::::::::AMERIGROUP TEXAS INC:HC:P08:P:Tarrant:U::Dialysis Facilities:********~
N1*IN*E15E831A-452B-46B0-A89E-8BFD8A4867A6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*86954214249*Y*86954214249*A************~
REF*0F*723800004**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/07/27 22*03**21.550*34****~
PER*IP**EM*PETTIE*HP*TANYA*CP**~
N3**220882381~
N4*911 southwest Wilshire boulevard**Burleson**CY*TX*~
DMG*D8*76028*: 98: 0: 0: 73283: 20:KATHERYN WARREN:4047711:DE83C07C-2191-41BF-8A2A-8F952D32E1D1:2808 61st street::Galveston:TX:77551::::::::::::::::::2406061067:TEXAS PHYSICIANS CARE:HC:F05:F:Johnson:U::Dialysis Facilities:********~
N1*IN*CA7A63BF-99FD-434F-8AF3-D07FF66AA6AE*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*57297778499*Y*57297778499*A************~
REF*0F*512220724**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/06/15 22*03**21.550*34****~
PER*IP**EM*PARKER*HP*NICOLE*CP*C*~
N3**216089573~
N4*26270 Northwest freeway**Cypress**CY*TX*~
DMG*D8*77429*: 81: 0: 0: 83109: 20:MARY IMMACULATE HOSPITAL:6124101:768A4DE2-64D6-470B-ADC2-1F86A631D77F:101 west Campbell road::Richardson:TX:75080:::::::::::::::::::TEXAS PHYSICIANS CARE:HC:F05:F:Harris:U::Dialysis Facilities:********~
N1*IN*9E9A5A53-4D1F-49CC-B659-7609548889CF*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*97779426059*Y*52496627899*A************~
REF*0F*894910104**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 47~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/11/13 22*03**21.550*34****~
PER*IP**EM*JACKSON*HP*NICHOLAS*CP*S*~
N3**214435626~
N4*Cypress North Houston road**Cypress**CY*TX*~
DMG*D8*77429*: 81: 0: 0: 63701: 20:GINA ALDERSON:3065812:7B2EA73C-2DDC-4D56-A535-3A3F3C0A483A:3131 west Holcombe boulevard::Houston:TX:77025::::::::::::::::::2024237297:PRIORITY PARTNERS:HC:F02:F:Harris:U::Dialysis Facilities:********~
N1*IN*33BD654F-298A-4041-9A67-DC3168FF3A37*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*69915728089*Y*50899155299*A************~
REF*0F*644800194**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/10/22 22*03**21.550*34****~
PER*IP**EM*DEW*HP*KIERSTEN*CP*L*~
N3**212351842~
N4*1601 east Adams avenue**Temple**CY*TX*~
DMG*D8*76501*: 16: 0: 0: 37442: 37:STEVEN L WEINSTEIN:1362002:2F75BA6B-3D2E-431B-922F-358419353216:6669 Gateway boulevard west::El Paso:TX:79925::::::::::::::::::4102430229:PRIORITY PARTNERS:HC:P08:P:Bell:U::Lithotripsy Facility:********~
N1*IN*167B9170-174F-469F-ADF4-1C8B5CD617F6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*55796690599*Y*52198000599*A************~
REF*0F*499910874**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/02/09 10*35**09.523*34****~
PER*IP**EM*DAVIS*HP*ROSCOE*CP*M*~
N3**212671914~
N4*8923 northwest Military drive**San Antonio**CY*TX*~
DMG*D8*78231*: 18: 0: 0: 156: 20:RIO GRANDE PHYSICIANS PA:0003221:68EC994A-9379-4E9D-820C-4363B852BF10:1450 Gulfgate Center Mall::Houston:TX:77087::::::::::::::::::3017903233:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
N1*IN*84C69CDF-315B-44D3-9847-D98BD1A7DE08*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*54597012999*Y*54597012999*A************~
REF*0F*790120400**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/12/28 22*03**21.550*34****~
PER*IP**EM*THOMAS*HP*ZULEIMA*CP**~
N3**212698731~
N4*6370 Babcock road**San Antonio**CY*TX*~
DMG*D8*78240*: 18: 0: 0: 92786: 20:INTERNAL MEDICINE ASSOC:9707310:019211AD-6CBE-49A6-B9AD-DCD9322CCAFB:1181 Flower Mound road::Flower Mound:TX:75028::::::::::::::::::3012776331:TEXAS PHYSICIANS CARE:HC:P07:P:Bexar:U::Dialysis Facilities:********~
N1*IN*80D8AE79-0511-4DBD-ABA1-5CEAC62275D6*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*50497078499*Y*50497078499*A************~
REF*0F*399420414**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/04/18 22*03**21.550*34****~
PER*IP**EM*MORALES*HP*WILLIAM*CP**~
N3**217678636~
N4*813 south MacArthur boulevard**Coppell**CY*TX*~
DMG*D8*75019*: 45: 0: 0: 79110: 20:SAM HOUSTON UNIVERSITY DEPARTMENT:5110009:1E100746-435B-4C90-B0FF-5D3BE3C97847:19763 highway 59 north::Humble:TX:77338::::::::::::::::::4103774325:AMERIGROUP TEXAS INC:HC:P13:P:Dallas:U::Dialysis Facilities:********~
N1*IN*D6198228-F072-414F-B00C-79A575681AC2*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*FCA749D6-B94B-4566-85EE-4601E6E6FEA6*69532321398*Y*69532321398*A************~
REF*0F*876764030**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/01/31 22*03**21.550*34****~
PER*IP**EM*MELZER*HP*MARY*CP*T*~
N3**216514012~
N4*808 south Columbia drive**West Columbia**CY*TX*~
DMG*D8*77486*: 22: 0: 0: 88413: 20:RIO GRANDE PHYSICIAN ASSOC:7773412:08B2D996-8FF9-4AD1-982E-26F8C525D2A9:1401 southwest Wilshire boulevard::Burleson:TX:76028::::::::::::::::::3018383163:COVENTRY HEALTH CARE OF TEXAS:HC:F05:F:Brazoria:U::Dialysis Facilities:********~
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REF*0F*170330854**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/19 22*03**21.550*34****~
PER*IP**EM*STEWART*HP*MAKEYA*CP**~
N3**216731163~
N4*330 Valley Hi drive**San Antonio**CY*TX*~
DMG*D8*78227*: 18: 0: 0: 93184: 20:CONCENTRA MEDICAL CENTER:9815708:C81FB204-F395-4EAF-9B74-2F3B07B4BB91:500 north Lamar boulevard::Austin:TX:78703::::::::::::::::::3016160147:TEXAS PHYSICIANS CARE:HC:P07:P:Bexar:U::Dialysis Facilities:********~
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REF*0F*904720494**~
REF*1L* 1**~
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DTP*356*D8* 38~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/07/27 22*03**21.550*34****~
PER*IP**EM*ESCOBARMEJIA*HP*KEYON*CP**~
N3**578338080~
N4*25666 Northwest freeway**Cypress**CY*TX*~
DMG*D8*77429*: 81: 0: 0: 26228: 20:UNION MEMORIAL HOSPITAL:1134515:4A9DD260-BFF4-4C92-BAAE-F95E7AD42A0A:6550 Bertner street::Houston:TX:77030::::::::::::::::::2404785910:AMERIGROUP TEXAS INC:HC:P13:P:Harris:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*422430210**~
REF*1L* 1**~
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DTP*356*D8* 21~
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NM1*IL*1* 3*2008/12/07 22*03**21.550*34****~
PER*IP**EM*BURCHETT*HP*ROBERT*CP**~
N3*III *218356574~
N4*4530 Woodrow Bean Transmountain drive**El Paso**CY*TX*~
DMG*D8*79924*: 54: 0: 0: 20618: 20:CHILDREN S NATIONAL MEDICAL CENTER:0300217:2B600F60-969C-4048-823E-1F9B102E6C9A:300 Meyerland Plaza Mall::Houston:TX:77096::::::::::::::::::4103700968:UNITED HEALTHCARE :HC:F05:U:El Paso:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*012030264**~
REF*1L* 1**~
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DTP*356*D8*~
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NM1*IL*1* 4*2009/11/20 08*23**54.783*34****~
PER*IP**EM*LACY*HP*TYREEK*CP**~
N3**220132856~
N4*11000 east Davis street**Conroe**CY*TX*~
DMG*D8*77301*: 136: 0: 0: 12463: 20:ABDEL AZIZ EL SAID:0133264:E3A33AB1-8002-40CD-88AC-FEF35861929D:6859 Arapaho road::Dallas:TX:75248:: 118::::::::::::::::3017355032:COVENTRY HEALTH CARE OF TEXAS:HC:::Montgomery:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*612610564**~
REF*1L* 1**~
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DTP*356*D8* 11~
DTP*357*D8* 32~
NM1*IL*1* 3*2009/08/30 22*03**21.550*34****~
PER*IP**EM*BROWN*HP*LATESHA*CP**~
N3**213373788~
N4*755 Texas avenue**Bridge City**CY*TX*~
DMG*D8*77611*: 145: 0: 0: 6197: 20:SAM HOUSTON HEALTH SYSTEM:0065412:A8499860-DE67-4AF5-A19C-0B663181DCFA:470 Coneflower drive::Garland:TX:75040::::::::::::::::::3016946965:AMERIGROUP TEXAS INC:HC:F01:R:Orange:U::Dialysis Facilities:********~
N1*IN*3EF8BD02-AC41-4F7C-B9B8-8333CF801544*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*854830814**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/08/07 22*03**21.550*34****~
PER*IP**EM*AMAYAPENA*HP*KEENAN*CP**~
N3**699032098~
N4*2260 north Expressway **Brownsville**CY*TX*~
DMG*D8*78521*: 31: 0: 0: 70991: 20:SCHULTZE SNIDER ASSOCIATES:3748413:3C84AFAC-82AE-4A18-A978-9DE9466B8B94:1021 west University avenue::Georgetown:TX:78628:::::::::::::::::::AMERIGROUP TEXAS INC:HC:P07:P:Cameron:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*919200114**~
REF*1L* 1**~
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DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/02/11 22*03**21.550*34****~
PER*IP**EM*CLARK*HP*LUCIANO*CP*A*~
N3**257934225~
N4*1905 south Stockton avenue**Monahans**CY*TX*~
DMG*D8*79756*: 197: 0: 0: 36441: 20:DENNIS BARTON:1311001:D01F5E64-A6AB-4F0D-90F9-1A0C7FD32CA5:2108 Dallas parkway::Plano:TX:75093::::::::::::::::::4103421323:AMERIGROUP TEXAS INC:HC:F05:F:Ward:U::Dialysis Facilities:********~
N1*IN*ADCB6C2F-DF47-4034-8328-E4D85D2528AF*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*629920064**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/01/15 22*03**21.550*34****~
PER*IP**EM*CENTENO*HP*KATHLEEN*CP**~
N3**216733609~
N4*602 north Salinas boulevard**Donna**CY*TX*~
DMG*D8*78537*: 84: 0: 0: 64993: 20:UNIVERSITY OF TEXAS HOSP:3130118:D4FF0451-51E6-4920-9B30-07C6D02AFF97:19955 Fry Access road::Houston:TX:77094::::::::::::::::::4106519608:AMERIGROUP TEXAS INC:HC:P07:P:Hidalgo:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*674010854**~
REF*1L* 1**~
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DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2008/10/25 22*03**21.550*34****~
PER*IP**EM*FLEMING*HP*SHIANNE*CP*D*~
N3**216430588~
N4*12514 west highway 71**Bee Cave**CY*TX*~
DMG*D8*78738*: 184: 0: 0: 55415: 20:CHURCH HOSPITAL CORPORATION:1877411:52993AE2-4BA6-4B05-811C-7AE251138B31:101 Bowie street::San Antonio:TX:78205:::::::::::::::::::AMERIGROUP TEXAS INC:HC:P08:P:Travis:U::Dialysis Facilities:********~
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N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*545210484**~
REF*1L* 1**~
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DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/02/25 22*03**21.550*34****~
PER*IP**EM*CONTEE*HP*TYASIA*CP**~
N3**213698220~
N4*488 highway 71 west**Bastrop**CY*TX*~
DMG*D8*78602*: 12: 0: 0: 84987: 20:CARROLL COUNTY ANESTHESIA ASSOC:6981054:60BC9C3B-8A46-413D-853D-032E908697FC:920 east Northwest highway ::Grapevine:TX:76051::::::::::::::::::4105478500:MEDSTAR HEALTH:HC:P07:P:Bastrop:U::Dialysis Facilities:********~
N1*IN*370F4176-3BE6-430E-B79D-35978E66F9B2*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
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REF*0F*844930624**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/09/04 22*03**21.550*34****~
PER*IP**EM*TRAN*HP*KATHLEEN*CP**~
N3**218733611~
N4*824 west Expressway 83**San Juan**CY*TX*~
DMG*D8*78589*: 84: 0: 0: 61741: 20:MEDSTAR HEALTH ANESTHESIA SERVICES:2857618:5A7CB08B-34EA-4174-B36F-73ACF834BA5B:4739 Medical drive::San Antonio:TX:78229:::::::::::::::::::UNITED HEALTHCARE :HC:P07:P:Hidalgo:U::Dialysis Facilities:********~
N1*IN*552600B7-83AA-4525-AC6F-EDC49A34DD96*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*53396710699*Y*50397376199*A************~
REF*0F*832620694**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/01/15 16*30**41.220*34****~
PER*IP**EM*SMITH*HP*KYMANI*CP*J*~
N3**218738620~
N4*18146 Blanco road**San Antonio**CY*TX*~
DMG*D8*78232*: 18: 0: 0: 91880: 20:TOTAL HEALTH CARE  INC:9132015:015B53D0-DDAD-4186-A0D0-847034488374:16616 Champion Forest drive::Spring:TX:77379::::::::::::::::::4437391001:TEXAS PHYSICIANS CARE:HC:::Bexar:U::Dialysis Facilities:********~
N1*IN*B8096640-B2D9-4284-911F-6CDC0EBBADA1*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*91965398329*Y*91965398089*A************~
REF*0F*995000254**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/02/07 22*03**21.550*34****~
PER*IP**EM*THOMAS*HP*KAREN*CP*V*~
N3**219967282~
N4*1200 southeast Military drive**San Antonio**CY*TX*~
DMG*D8*78214*: 18: 0: 0: 17365: 20:LAWRENCE CONGER:0190713:89FE8159-BCED-4C7B-AE3F-57EF918A558B:4151 east Renner road::Richardson:TX:75082::::::::::::::::::4104338969:AMERIGROUP TEXAS INC:HC:F05:F:Bexar:U::Dialysis Facilities:********~
N1*IN*7F0E1369-43B7-407E-91F2-E9925CBC0FC1*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*54796667999*Y*54796667999*A************~
REF*0F*713330254**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 14~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/08/21 22*03**21.550*34****~
PER*IP**EM*SALDANA*HP*LESTER*CP*B*~
N3**100945938~
N4*1736 Wirt road**Houston**CY*TX*~
DMG*D8*77055*: 81: 0: 0: 73008: 20:WEST AUSTIN DENTAL:4023111:9E77AA8F-4D63-46A2-AD81-323FBCA91B03:3193 Main street::Frisco:TX:75034::::::::::::::::::3015627942:PRIORITY PARTNERS:HC:P07:P:Harris:U::Dialysis Facilities:********~
N1*IN*A7F499B2-D432-4423-AD22-9D8000577211*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*52998182599*Y*52199307599*A************~
REF*0F*471810074**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 3*2008/10/09 22*03**21.550*34****~
PER*IP**EM*CORONADO*HP*MARTIN*CP**~
N3**219494279~
N4*east highway 303**Arlington**CY*TX*~
DMG*D8*75051*: 179: 0: 0: 81805: 20:UNIVERSITY HOSP BROO:5576415:B8F3768C-F82E-436E-9760-D135A1F7F09B:5401 south highway 1626::Kyle:TX:78640:::::::::::::::::::AMERIGROUP TEXAS INC:HC:F05:U:Tarrant:U::Dialysis Facilities:********~
N1*IN*DB6E1DEA-1F4F-42D0-8BF6-BB988C7CE98A*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*57896755399*Y*57896755199*A************~
REF*0F*444230124**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 3*2009/03/17 22*03**21.550*34****~
PER*IP**EM*JACKSON*HP*SHANISSA*CP**~
N3**225672708~
N4*256 Main street**Acton**CY*TX*~
DMG*D8*01720*: 130: 0: 0: 81569: 20:CLAUDIO G CEPEDA:5517036:2CCF9B10-8305-4798-BB6E-822422995F76:1 Utsa circle::San Antonio:TX:78249::::::::::::::::::4437083409:UNITED HEALTHCARE :HC:P08:P:Middlesex:U::Dialysis Facilities:********~
N1*IN*E6C374E8-8D52-4445-BBEB-9B3E4BDB7026*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*54398194399*Y*54398194399*A************~
REF*0F*450810654**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 15~
DTP*357*D8* 31~
NM1*IL*1* 5*2009/09/18 22*03**21.550*34****~
PER*IP**EM*HUDSON*HP*KATHERINE*CP**~
N3**579279189~
N4*2727 Bay Area boulevard**Houston**CY*TX*~
DMG*D8*77058*: 81: 0: 0: 71326: 20:REHAB PRACTITIONERS INC:3776913:1D40F815-D0F8-4C92-9463-FA6A3EEA89EF:3100 north Mesa street::El Paso:TX:79902:::::::::::::::::::TEXAS PHYSICIANS CARE:HC:P08:P:Harris:U::Dialysis Facilities:********~
N1*IN*3630CD3A-0504-408E-89F7-D7E300472B14*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*E6D4E189-F608-456D-891A-9A1F3CEA9D71*53896695999*Y*53896695999*A************~
REF*0F*040330164**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2008/12/27 22*03**21.550*34****~
PER*IP**EM*VANGELDER*HP*NICOLE*CP*L*~
N3**217175425~
N4*2800 north Terminal road **Houston**CY*TX*~
DMG*D8*77032*: 81: 0: 0: 31209: 20:UNITED CONCORDIA:1226103:0D8E2A09-D7AC-47D7-BEBF-8C87D8AE1F70:1400 west Nasa Road 1::Webster:TX:77598::::::::::::::::::3017692689:UNITED HEALTHCARE :HC:F05:F:Harris:U::Dialysis Facilities:********~
N1*IN*D153C21C-33B2-455F-83E8-8B656AB8E1AB*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*90975994159*Y*56096560899*A************~
REF*0F*454100024**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 34~
NM1*IL*1* 5*2009/08/20 22*03**21.550*34****~
PER*IP**EM*COLLINS*HP*VERNAE*CP*B*~
N3**217278785~
N4*398 Eva street**Montgomery**CY*TX*~
DMG*D8*77356*: 136: 0: 0: 47561: 20:ADVANCED RADIOLOGY:1484034:A907BA81-3E5C-4DB2-8415-3CC077DC07CB:4849 Bryant Irvin road::Fort Worth:TX:76132::::::::::::::::::4433369729:PRIORITY PARTNERS:HC:F05:U:Montgomery:U::Dialysis Facilities:********~
N1*IN*5F09A942-D7E4-4C68-89D5-BE0447C4BD61*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*69172487099*Y*69172487099*A************~
REF*0F*215728030**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2010/02/11 10*57**41.740*34****~
PER*IP**EM*FLEMING*HP*SHEREKA*CP*L*~
N3**215290820~
N4*1600 north Stemmons freeway**Denton**CY*TX*~
DMG*D8*76201*: 49: 0: 0: 156: 20:RIO GRANDE PHYSICIANS PA:0003221:68EC994A-9379-4E9D-820C-4363B852BF10:1450 Gulfgate Center Mall::Houston:TX:77087::::::::::::::::::3017903233:TEXAS PHYSICIANS CARE:HC:::Denton:U::Dialysis Facilities:********~
N1*IN*5424A093-0836-4667-813B-B96684D63BD7*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*69223319309*Y*69223319299*A************~
REF*0F*086677030**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 63~
DTP*357*D8* 25~
NM1*IL*1* 3*2009/08/19 22*03**21.550*34****~
PER*IP**EM*GRIMES*HP*LAVERNE*CP**~
N3**214863126~
N4*608 west highway 79**Hutto**CY*TX*~
DMG*D8*78634*: 212: 0: 0: 25042: 20:HARFORD ENDOSCOPY CENTER:0909912:0986E53E-739D-42BB-B379-791491ABDF90:2180 Kenly avenue::Lackland Afb:TX:78236::::::::::::::::::4107898841:AMERIGROUP TEXAS INC:HC:S02:D:Williamson:U::Dialysis Facilities:********~
N1*IN*CD923F98-FD25-4BDD-8CB4-841778C1B1AC*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*54FFAF02-F115-4834-9086-923F5D23FDF7*55397978999*Y*50999440999*A************~
REF*0F*919200114**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8* 21~
DTP*357*D8* 27~
NM1*IL*1* 3*2009/07/18 22*03**21.550*34****~
PER*IP**EM*CLARK*HP*MELISSA*CP*J*~
N3**219552996~
N4*8435 north Belt Line road**Irving**CY*TX*~
DMG*D8*75063*: 45: 0: 0: 36441: 20:DENNIS BARTON:1311001:D01F5E64-A6AB-4F0D-90F9-1A0C7FD32CA5:2108 Dallas parkway::Plano:TX:75093::::::::::::::::::4103421323:AMERIGROUP TEXAS INC:HC:F05:F:Dallas:U::Dialysis Facilities:********~
N1*IN*ED727676-E1D2-4E21-925B-B28238E52972*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*27AEFD7E-B3CD-494A-A55A-0F91A83350F8*57297945099*Y*55897763199*A************~
REF*0F*087800774**~
REF*1L* 1**~
REF*ZZ* 1**~
DTP*356*D8*~
DTP*357*D8*~
NM1*IL*1* 2*2009/12/10 14*12**49.410*34****~
PER*IP**EM*GRAHAM*HP*SHADAE*CP**~
N3**216553550~
N4*5701 Highway boulevard**Katy**CY*TX*~
DMG*D8*77494*: 61: 0: 0: 9418: 20:RAKESH  MATHUR:0097870:9A2A7F36-93E3-43AF-91B2-4FA52E094F78:2104 Airport freeway::Bedford:TX:76022::::::::::::::::::3017407645:TEXAS PHYSICIANS CARE:HC:::Fort Bend:U::Dialysis Facilities:********~
N1*IN*C4A66988-B03C-4CDF-A3C9-01A3DFAF9941*FI*123456789**~
N1*TV*Policy Studies, Inc.*FI*123456789**~
INS*77FFE54B-39E1-438B-9902-FCD37B373D5F*54697067599*Y*54697067599*A************~
REF*0F*071720114**~
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DTP*356*D8* 39~
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NM1*IL*1* 3*2008/11/03 22*03**21.550*34****~
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