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<address streetLine1='1234 Howard St.' city='LA JOLLA' stateProvince='CALIFORNIA' postalCode='92038' />
<bid value='C0001' />
<dob value='2600303' />
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<eligibility name='HUMANITARIAN EMERGENCY' primary='1' />
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<ethnicity value='2135-2' />
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<facility code='613' name='MARTINSBURG VAMC' latestDate='3120202' />
<facility code='657' name='ST. LOUIS MO VAMC-JC DIVISION' />
<facility code='200PS' name='DEPT. OF DEFENSE' />
<facility code='983' name='CHYSHR TEST LAB' latestDate='3120207' homeSite='1' />
<facility code='984' name='DAYTSHR TEST LAB' latestDate='3110728' />
<facility code='989' name='MHV DAYT29' />
<facility code='992' name='HDR DNS   ' />
<facility code='200ESR' name='DEPT. OF DEFENSE' />
<facility code='988' name='DAYT20 TEST LAB' />
<facility code='200NWS' name='DEPT. OF DEFENSE' />
<facility code='200NK2' name='DEPT. OF DEFENSE' />
<facility code='200NHP' name='DEPT. OF DEFENSE' />
<facility code='200NSH' name='DEPT. OF DEFENSE' />
<facility code='200NTR' name='DEPT. OF DEFENSE' />
<facility code='200NDX' name='DEPT. OF DEFENSE' latestDate='3140818' />
<facility code='200NDY' name='DEPT. OF DEFENSE' latestDate='3140723' />
<facility code='200NDZ' name='DEPT. OF DEFENSE' />
</facilities>
<familyName value='CHDRZZZTESTPATIENT' />
<flags>
<flag name='MISSING PATIENT' text='1234534w73568' />
</flags>
<fullName value='CHDRZZZTESTPATIENT,CHDRONE' />
<gender value='M' />
<givenNames value='CHDRONE' />
<icn value='1012581676' />
<id value='7189508' />
<inpatient value='false' />
<lrdfn value='473165' />
<maritalStatus value='M' />
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<race value='2054-5' />
</races>
<religion value='112' />
<sc value='0' />
<sensitive value='1' />
<ssn value='666000001' />
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<support contactType='ECON' name='WOODWARD,WILL' relationship='FATHER' >
<address streetLine1='8484 ADDRESS LANE' streetLine2='WESTERN PLAZA' streetLine3='4TH BLOCK' city='LA JOLLA' stateProvince='CALIFORNIA' postalCode='92038' />
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<telecom usageType='H' value='(888)929-2299' />
</telecomList>
</support>
<support contactType='NOK' name='CHDRZZZTESTPATIENT,MOM' relationship='mother' >
<address streetLine1='1234 Howard St.' city='LA JOLLA' stateProvince='CALIFORNIA' postalCode='92038' />
<telecomList>
<telecom usageType='H' value='(760)222-5555' />
</telecomList>
</support>
</supports>
<telecomList>
<telecom usageType='H' value='(760)111-1111' />
</telecomList>
<veteran value='0' />
</patient>
</demographics>
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