C00125;TA105432;80015M080;1;;Barbara Bruns;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA105432;TDIWM080;3;;Barbara Bruns;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA105432;COMP;Yes
