|^~\&HEALING_BIOLOGIXATHENAATHENA_FACILITY20260521204139DFTP036a0f6e03734fcP2.5P03202605212041391303159859303159859ATHENAMRDeanBrendaK19570823F1751 E State Highway 24ASTORIAIL61501-9481PRNPH30933340963394686681O465MCW 2nd Pulm (SC)1891271904ABBASSYED29127ABBASSYED1779396099HBVNSELF202605212041391TXN17793960992026052120260521CG99213OFFICE OUTPATIENT VISIT 20 MINUTES1419.00419.00465465MCW 2nd Pulm (SC)Z00.00Encounter for general adult medical examination without abnormal findingsICD101891271904ABBASSYED1891271904ABBASSYED992131PLAN001COMP001Blue Cross Blue ShieldGRP12345ACME CorpDoeJohn