H;C01702;C01702;;20250124;TA103308;;;;;Schuylkill Foot and Ankle;1626 Mount Hope Ave;;Pottsville;Pa;17901;;;
D;BCO3;;PR;1;Lawrence Fessler;
D;20017XW140;;PR;1;Lawrence Fessler;
H;C01645;C01645;;20250124;TA103441;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;TCO3;;PR;1;John Grey;
D;425W120;;PR;1;John Grey;
H;C01270;C01270;;20250124;TA103442;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;;Toledo;OH;43613;;;
D;TCO3;;PR;1;Daniel Rose;
D;428W105;;PR;1;Daniel Rose;
H;C01702;C01702;;20250124;TA103443;;;;;Schuylkill Foot and Ankle;1626 Mount Hope Ave;;Pottsville;Pa;17901;;;
D;581XW105;;PR;1;Leonard Strunk;
D;TDIMXW105;;PR;3;Leonard Strunk;