C00125;TA110472;PPFL;1;;Kenneth Powers;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;05/22/25
C00125;TA110472;652W120;1;;Kenneth Powers;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;05/22/25
C00125;TA110472;COMP;Yes
