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Viewing Document Id 0177ENZLB7TSCLWNGBIFAL2QF2R3EBVKSD

Invoice Id 21296
Page Number Pg439
Case Number 247494
Period 2023-06-01
Service Physical Therapy
Hours Flagged 9.00
Dates Flagged All
Total Invoice Hours 9.00
Billing Rate $137.50
Invoice Total $1,237.50
Provider Name Seth Newman
Invoice Issue Notes
Is Flagged Yes
DOE Tranche Category OVERLAPPING_SESSIONS
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