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Box 94880~N4*Pasadena*CA*91109**CY*LOS ANGELES~DMG*D8*20130810*M~HLH*N~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $250~DTP*348*D8*20210101~REF*1L*HUNTMMSTANDARD~COB*P**6~SE*24*1872~ST*834*1873*005010X220A1~BGN*00*ESI_H7000-01869*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON MEMORIAL HOSPITAL*FI*951644036~N1*IN*Express Scripts*FI*431420563~N1*TV*Keenan & Associates*FI*952798626~ACT*H7000-340B~INS*Y*18*030*XN*A***FT**N~REF*0F*550450750~REF*1L*KBAS H7000~REF*23*00070001045~REF*DX*011~REF*Q4*176A51690~REF*ZZ*0007000-1045~DTP*336*D8*19990929~NM1*IL*1*PENIDO*MARCIA*L***34*550450750~PER*IP**EM*Marcia.Penido@huntingtonhealth.org~N3*1412 Ontario Ave~N4*Pasadena*CA*91103**CY*LOS ANGELES~DMG*D8*19601109*F*M~HLH*N~LUI*LE*EN~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $500*ESP~DTP*348*D8*20190101~REF*1L*HUNTMM500~COB*P**6~SE*28*1873~ST*834*1874*005010X220A1~BGN*00*ESI_H7000-01870*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON MEMORIAL HOSPITAL*FI*951644036~N1*IN*Express Scripts*FI*431420563~N1*TV*Keenan & Associates*FI*952798626~ACT*H7000-340B~INS*N*01*030*XN*A****N*N~REF*0F*550450750~REF*1L*KBAS H7000~REF*23*100000803282041~REF*Q4*176A51690~REF*ZZ*0007000-1045~NM1*IL*1*BONNABEL*LOUIS*R***34*570686566~PER*IP**EM*mlpenido@aol.com~N3*1412 ONTARIO AVE~N4*PASADENA*CA*91103**CY*Los Angeles~DMG*D8*19470829*M~HLH*N~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $500~DTP*348*D8*20190101~REF*1L*HUNTMM500~COB*U**5~SE*25*1874~ST*834*1875*005010X220A1~BGN*00*ESI_H7000-01873*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON MEMORIAL HOSPITAL*FI*951644036~N1*IN*Express Scripts*FI*431420563~N1*TV*Keenan & Associates*FI*952798626~ACT*H7000-340B~INS*Y*18*030*XN*A***FT~REF*0F*610424251~REF*1L*KBAS H7000~REF*23*100000803125877~REF*DX*011~REF*Q4*478A79808~DTP*336*D8*20131216~NM1*IL*1*PRICE*JENNA*T***34*610424251~PER*IP**EM*Jenna.Price@huntingtonhealth.org~N3*6324 VERDUGO AVE~N4*CHINO*CA*91710**CY*San Bernardino~DMG*D8*19901204*F*I~HLH*N~LUI*LE*EN~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $500*ECH~DTP*348*D8*20191001~REF*1L*HUNTMM500~COB*P**6~SE*27*1875~ST*834*1876*005010X220A1~BGN*00*ESI_H7000-01874*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON MEMORIAL HOSPITAL*FI*951644036~N1*IN*Express Scripts*FI*431420563~N1*TV*Keenan & Associates*FI*952798626~ACT*H7000-340B~INS*N*19*030*XN*A****N*N~REF*0F*610424251~REF*1L*KBAS H7000~REF*23*100000803367637~REF*Q4*478A79808~NM1*IL*1*ALVARADO*LUNA*T***34*813779718~N3*6324 VERDUGO AVE~N4*CHINO*CA*91710**CY*San Bernardino~DMG*D8*20191001*F~HLH*N~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $500~DTP*348*D8*20191001~REF*1L*HUNTMM500~COB*U**5~SE*23*1876~ST*834*1877*005010X220A1~BGN*00*ESI_H7000-01874*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON MEMORIAL HOSPITAL*FI*951644036~N1*IN*Express Scripts*FI*431420563~N1*TV*Keenan & Associates*FI*952798626~ACT*H7000-340B~INS*Y*18*030*XN*A***FT**N~REF*0F*398560345~REF*1L*KBAS H7000~REF*23*00070002411~REF*DX*011~REF*Q4*013A20010~REF*ZZ*0007000-2411~DTP*336*D8*20070305~NM1*IL*1*PROFFIT*DOREEN*A***34*398560345~PER*IP**EM*Doreen.Proffit@huntingtonhealth.org~N3*P.O. Box 522~N4*Sierra Madre*CA*91025**CY*Los Angeles~DMG*D8*19561113*F*I~HLH*0~LUI*LE*EN~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $500*EMP~DTP*348*D8*20080101~REF*1L*HUNTMM500~COB*P**6~SE*28*1877~ST*834*1878*005010X220A1~BGN*00*ESI_H7000-01877*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON MEMORIAL HOSPITAL*FI*951644036~N1*IN*Express Scripts*FI*431420563~N1*TV*Keenan & Associates*FI*952798626~ACT*H7000-340B~INS*Y*18*030*XN*A***FT**N~REF*0F*554939230~REF*1L*KBAS H7000~REF*23*00070001041~REF*DX*001~REF*Q4*590A22830~REF*ZZ*0007000-1041~DTP*336*D8*19990913~NM1*IL*1*RAMAS*GILBERT*S***34*554939230~PER*IP**EM*Gilbert.Ramas@huntingtonhealth.org~N3*19512 WHITE ROCK CT~N4*SANTA CLARITA*CA*91321~DMG*D8*19721011*M*M~HLH*0~LUI*LE*EN~HD*030**MM*HUNTINGTON MEMORIAL HOSPITAL MM $250*EMP~DTP*348*D8*20130101~REF*1L*HUNTMMSTANDARD~COB*P**6~SE*28*1878~ST*834*1879*005010X220A1~BGN*00*ESI_H7000-01878*20240429*2041*17***4~REF*38*KBAS H7000~DTP*303*D8*20241227~N1*P5*HUNTINGTON 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