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PID|1||191919||John^Doe|Schulz|19560129|F|||171 ZOBERLEIN^^ISHPEMING^ ^49849||(900)485-5344|(900)485-5344|||||371-66-9256||||New York|||||^American|20010131
PV1|1|||||||||||||AMB|||0148^WALSH^JAMES||123434
AL1|1||^Testallergy|||20000721
AL1|2||^Allergy against lemons|||19781023
AL1|3||^Jodine|||19890101
IN1|1||BC1|BLUE CROSS||||||||||||||||||||||||||||||||5475698
STF|1|001|Miller^Arnold|Doctor|M|||^Hospital|^Internist|(030)123456|Street^^City^^1234