H;C01645;C01645;;20250116;TA103156;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;TCO1;;PR;1;James Connolly;
D;653W115;;PR;1;James Connolly;
H;C02195;C02195;;20250116;TA103158;;;;;Pedorthic Technologies Inc;285 Park Ave;;Cranston;RI;02905;;;
D;TCO1;;PR;1;Edward Cunningham;
D;20217M105;;PR;1;Edward Cunningham;
H;C01645;C01645;;20250116;TA103159;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;FOP;;PR;1;Joseph Surdak;
D;20011M115;;PR;1;Joseph Surdak;
H;C03535;C03535;;20250116;TA103160-1/16/25;;;;;Faculty Physicians;1415 Old Weisgarber Road suite 350;;Knoxville;TN;37909;;;1/16/25
D;TCO3;;PR;1;Neil Sloffer;
D;486XW095;;PR;1;Neil Sloffer;
H;C03506;C03506;;20250116;TA103161-Cathy Patterson;;;;;Anniston Foot Care Center;708 East 10th Street;;Anniston;AL;36207;;;Cathy Patterson
D;TCO3;;PR;1;Cathy Patterson;
D;80013W095;;PR;1;Cathy Patterson;