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Viewing Document Id 0177ENZLCIS5NP74UKS5F2NWRFMA3CKPGE

Invoice Id 21963
Page Number Pg1106
Case Number 230467-250632
Period 2023-06-01
Service Physical Therapy
Hours Flagged 16.00
Dates Flagged All
Total Invoice Hours 16.00
Billing Rate $137.50
Invoice Total $2,200.00
Provider Name Shloimy Mayer
Invoice Issue Notes
Is Flagged Yes
DOE Tranche Category OVERLAPPING_SESSIONS
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