H;C04010;C04010;;20250326;TA107063;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;BCO3;;PR;1;Barbara Reiss;
D;80023M100;;PR;1;Barbara Reiss;
H;C00130;C00130;;20250326;TA107120-03272025TADECLL;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;03272025TADECLL;003
D;TCO3;;PR;1;Leonard Latham;
D;481XW110;;PR;1;Leonard Latham;