H;C01270;C01270;;20250306;TA105774;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Annette Hannibal;
D;80021M080;;PR;1;Annette Hannibal;
H;C03262;C03262;;20250306;TA105775;;;;;Family Foot Clinic;1880 Willamette Falls Drive Ste 111;;West Linn;OR;97068;;;;003
D;TCO3;;PR;1;Jenean Lindbeck;
D;80022W085;;PR;1;Jenean Lindbeck;
H;C01645;C01645;;20250306;TA105778;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;;003
D;TCO3;;PR;1;Joseph Siclari;
D;20016XW090;;PR;1;Joseph Siclari;
H;C01645;C01645;;20250306;TA105779;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;;003
D;TCORS3;;PR;1;Christopher Sands;
D;20016M105;;PR;1;Christopher Sands;
H;C01268;C01268;;20250306;TA105780;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Arthur Balderas;
D;428M085;;PR;1;Arthur Balderas;
H;C00130;C00130;;20250306;TA105782-030525TAHSVRJ;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;030525TAHSVRJ;003
D;428XW110;;PR;1;Robert Juengel;
D;TDIWXW110;;PR;3;Robert Juengel;
H;C00047;C00047;;20250306;TA105783-Draper;;;;;Accucare ;9011Linwood Ave;;Shreveport;La;71106;;;Draper;003
D;TCO3;;PR;1;Norma Draper;
D;984M080;;PR;1;Norma Draper;
H;C00047;C00047;;20250306;TA105785-Quinn ;;;;;Accucare ;9011Linwood Ave;;Shreveport;La;71106;;;Quinn ;003
D;TCO3;;PR;1;Mary Quinn;
D;71103W090;;PR;1;Mary Quinn;
H;C01270;C01270;;20250306;TA105787;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Tina King;
D;80020M100;;PR;1;Tina King;