H;C04010;C04010;;20250205;TA104113;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;794W090;;PR;1;Carol Becker;
H;C00130;C00130;;20250205;TA104117-HSVSS;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;HSVSS;003
D;681XW130;;PR;1;THOMAS WATTS;
D;TDIMXW130;;PR;1;THOMAS WATTS;