H;C03469;C03469;;20250115;TA103108-34073;;;;;PATEWOOD DR;200 PATEWOOD DRIVE BUILDING C SUITE C360;;Greenville;SC;29615;;;34073
D;PPFL;;PR;1;RONALD CARROLL-251;
D;20021M120;;PR;1;RONALD CARROLL-251;
H;C03469;C03469;;20250115;TA103109-34074;;;;;SIMPSONVILLE;112 B HOSPITAL DR.;;SIMPSONVILLE;SC;29681;;;34074
D;TCO3;;PR;1;JESSICA OWENS-252;
D;80016M060;;PR;1;JESSICA OWENS-252;
H;C01145;C01145;;20250115;TA103112;;;;;Foot & Ankle Associates Of Wi;2835 N Grandview BlvdSte 300 ;;Pewaukee;WI;53072;;;
D;BCO3;;PR;1;LORETLA  LENSER-253;
D;80062M090;;PR;1;LORETLA  LENSER-253;
H;C01145;C01145;;20250115;TA103113;;;;;Foot & Ankle Associates Of Wi;2835 N Grandview BlvdSte 300 ;;Pewaukee;WI;53072;;;
D;TCO3;;PR;1;JUDITH G  MORRIS-254;
D;80013W080;;PR;1;JUDITH G  MORRIS-254;
H;C01145;C01145;;20250115;TA103114;;;;;Foot & Ankle Associates Of Wi;2835 N Grandview BlvdSte 300 ;;Pewaukee;WI;53072;;;
D;TCO3;;PR;1;SHIRLEY LYONS-255;
D;80041M085;;PR;1;SHIRLEY LYONS-255;
H;C02162;C02162;;20250115;TA103115-01-13-24-RCA;;;;;MEDICAL PHARMACY;1213 MAIN ST;;WILLIMANTIC;CT;06226;;;01-13-24-RCA
D;BCO3;;PR;1;MARY SASSY-256;
D;80061M100;;PR;1;MARY SASSY-256;
H;C00139;C00139;;20250115;TA103117;;;;;Alderwood Foot & Ankle;;;;;;;;
D;BCO1;;PR;1;PARYDOKHT MIRZACIMIRABED-257;
D;886W075;;PR;1;PARYDOKHT MIRZACIMIRABED-257;
H;C02014;C02014;;20250115;TA103118;;;;;Nicholas P. Maro, Dpm;452 Rt 196;;Tobyhanna;PA;18466;;;
D;PPFL;;PR;1;KATHLEEN KEPER-258;
H;C03700;C03700;;20250115;TA103120-512-R59227;;;;;VAMC-Baltimore;10 N GREENE ST;;Baltimore;MD;21201;;;512-R59227
D;FOP;;PR;1;LEONARD LYNCH-259;
D;682M080;;PR;1;LEONARD LYNCH-259;
H;C03188;C03188;;20250115;TA103121;;;;;Cheshire;;;;;;;;
D;BCO3;;PR;1;RONALD CARLS TROW-260;
D;20011M095;;PR;1;RONALD CARLS TROW-260;
H;C03705;C03705;;20250115;TA103123-512-R59392;;;;;VAMC-Baltimore-Ziegler;10 N GREENE ST;;Baltimore;MD;21201;;;512-R59392
D;FOP;;PR;1;BARRY BRADFORD-261;
H;C03703;C03703;;20250115;TA103124-512-R59278;;;;;VAMC-Baltimore-Phillips;10 N GREENE ST;;Baltimore;MD;21201;;;512-R59278
D;FOP;;PR;1;ANGELA SHERROD-262;
H;C03469;C03469;;20250115;TA103125-34080;;;;;BEAR DR;50 Bear Dr.;;GREENVILLE;SC;29605;;;34080
D;TCO3;;PR;1;GARY IVEY-263;
D;20217W120;;PR;1;GARY IVEY-263;
H;C03469;C03469;;20250115;TA103127-34081;;;;;BEAR DR;50 Bear Dr.;;GREENVILLE;SC;29605;;;34081
D;TCO3;;PR;1;WILLIE PARKS-264;
D;40011W115;;PR;1;WILLIE PARKS-264;
H;C01158;C01158;;20250115;TA103128;;;;;Foot & Ankle Specialists Of Ny & Nj;;;;;;;;
D;BCO3;;PR;1;JULIA NORATO-265;
D;80023W075;;PR;1;JULIA NORATO-265;
H;C03965;C03965;;20250115;TA103129-1027313-GL;;;;;Scranton Orthotics;300 Lackawanna Ave. - Suite 250;;Scranton;PA;18503;;;1027313-GL
D;TCO3;;PR;1;GERARD LOEFFLER-266;
D;646W115;;PR;1;GERARD LOEFFLER-266;
H;C03398;C03398;;20250115;TA103131-578-Q56548;;;;;VAMC-Hines-Mccoy;5000 S 5th Avenue;;Hines;IL;60141;;;578-Q56548
D;BCO3;;PR;1;ED RAY LAUDERBACK-267;
D;633M105;;PR;1;ED RAY LAUDERBACK-267;
H;C03398;C03398;;20250115;TA103133-578-Q56462;;;;;VAMC-Hines-Mccoy;5000 S 5th Avenue;;Hines;IL;60141;;;578-Q56462
D;TCO2;;PR;1;ROBERT ALAN JOHNSTON-268;
H;C03965;C03965;;20250115;TA103134-1027316-SH;;;;;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;;WILKES BARRE;PA;18711;;;1027316-SH
D;TCO3;;PR;1;SANDRA HEARST-269;
D;80015W100;;PR;1;SANDRA HEARST-269;
H;C03965;C03965;;20250115;TA103135-1027313-DW;;;;;Scranton Orthotics;300 Lackawanna Ave. - Suite 250;;Scranton;PA;18503;;;1027313-DW
D;TCO3;;PR;1;DENNIS WAYMAN-270;
D;40031M100;;PR;1;DENNIS WAYMAN-270;
H;C03965;C03965;;20250115;TA103136-1027316-MS;;;;;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;;WILKES BARRE;PA;18711;;;1027316-MS
D;TCO3;;PR;1;MARTIN SIMKO-271;
D;40031W130;;PR;1;MARTIN SIMKO-271;
H;C03965;C03965;;20250115;TA103137-1027316-LK;;;;;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;;WILKES BARRE;PA;18711;;;1027316-LK
D;TCO3;;PR;1;LAURA KIWAK-272;
D;90002M085;;PR;1;LAURA KIWAK-272;
H;C03965;C03965;;20250115;TA103138-1027316-MS;;;;;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;;WILKES BARRE;PA;18711;;;1027316-MS
D;TCO3;;PR;1;MONIKA SLUSSER-273;
D;880M070;;PR;1;MONIKA SLUSSER-273;
H;C03965;C03965;;20250115;TA103139-1027316;;;;;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;;WILKES BARRE;PA;18711;;;1027316
D;TCO3;;PR;1;JANICE BABCOCK-274;
D;80013W090;;PR;1;JANICE BABCOCK-274;
H;C00688;C00688;;20250115;TA103145-97627;;;;;Sequim;566 N Firfth Ave;;Sequim;WA;98383;;;97627
D;TCO3;;PR;1;Sue Yore;
D;80023XW055;;PR;1;Sue Yore;
H;C00168;C00168;;20250115;TA103148;;;;;Alliance Prosthetics and Orthotics;12458 Washington Blvd;;Whittier;Ca;90602;;;
D;TCO3;;PR;1;Eric Liam;
D;20211XW100;;PR;1;Eric Liam;