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Viewing Document Id 0177ENZLBJUXLFFHMQCVCJWTDQUE5NN5MD

Invoice Id 22038
Page Number Pg1181
Case Number 228700
Period 2022-11-01
Service Speech Therapy
Hours Flagged 0.00
Dates Flagged
Total Invoice Hours 4.00
Billing Rate $225.00
Invoice Total $900.00
Provider Name Ari Schonblum
Invoice Issue Notes
Is Flagged No
DOE Tranche Category OVERLAPPING_SESSIONS
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