C04306;TA111592;BCO3;1;;310228JD -114;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/09/25
C04306;TA111592;843XW100;1;;310228JD -114;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/09/25
C04306;TA111592;COMP;No
