H;C00096;C00096;;20250317;TA106504-135586;;;;;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;;Brighton;MI;48116;;;135586;003
D;BCO3;;PR;1;Dale Edens;
D;20011M120;;PR;1;Dale Edens;
H;C04401;C04401;;20250317;TA106506;;;;;Hanny Hernandez;1262 Boston Rd Second Floor;;Bronx;NY;10456;;;;003
D;618W090;;PR;1;LEOCADIO FIGUEROA;
H;C01268;C01268;;20250317;TA106511;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Sharon Downs;
D;80013M090;;PR;1;Sharon Downs;
H;C00130;C00130;;20250317;TA106512-HSVSS;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;HSVSS;003
D;FOP;;PR;1;james  Thomas williamson;
H;C00552;C00552;;20250317;TA106515-03/17/2025;;;;;Central medical Equipment;301 Mexico Blvd Ste G-4;;Brownsville ;Texas;78520;;;03/17/2025;003
D;BCO3;;PR;1;Ma Smith;
D;984M075;;PR;1;Ma Smith;