C04306;TA111453;BCO3;1;;3227215A -84;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/06/25
C04306;TA111453;80014M105;1;;3227215A -84;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/06/25
C04306;TA111453;COMP;No
