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Viewing Document Id 0177ENZLGOTDILIHAAFRHY6EJBHQILNEKZ

Invoice Id 21961
Page Number Pg1104
Case Number 230467-250632
Period 2023-03-01
Service Physical Therapy
Hours Flagged 7.00
Dates Flagged All
Total Invoice Hours 7.00
Billing Rate $137.50
Invoice Total $962.50
Provider Name Shloimy Mayer
Invoice Issue Notes
Is Flagged Yes
DOE Tranche Category OVERLAPPING_SESSIONS
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