H;C02142;C02142;;20250502;TA109407;;;;;OSS Health DME Dept PM;1855 Powder Mill Rd;;York;PA;17401;;;;003
D;TCO3;;PR;1;Gilberto Rivera Gonzalez 375947;
D;40011W070;;PR;1;Gilberto Rivera Gonzalez 375947;
D;581W070;;PR;1;Gilberto Rivera Gonzalez 375947;
D;40011M070;;PR;1;Gilberto Rivera Gonzalez 375947;
H;C00130;C00130;;20250502;TA109409-050225TAHSVVARS;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;050225TAHSVVARS;003
D;FOP;;PR;1;Robert Sykes;
H;C00130;C00130;;20250502;TA109410;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;;003
D;TCO2;;PR;1;TIMOTHY  ANDERSON;
D;648XW100;;PR;1;TIMOTHY  ANDERSON;
D;648W100;;PR;1;TIMOTHY  ANDERSON;
H;C01268;C01268;;20250502;TA109411;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Gregory Campbell;
D;20018M090;;PR;1;Gregory Campbell;