H;C04140;C04140;;20250514;TA109100;;;;;ACTION LIMB AND BRACE;709 W MAIN;;ADA;OK;74820;;;;003
D;BCO3;;PR;1;GROVER WHITAKER;
D;20011M105;;PR;1;GROVER WHITAKER;
H;C04439;C04439;;20250514;TA109361;;;;;Total Foot and Ankle;205 South Kentucky Ave;;Corbin;KY;40701;;;;003
D;BCO3;;PR;1;Danny Hudson;
D;20014XW095;;PR;1;Danny Hudson;
H;C04439;C04439;;20250514;TA109570;;;;;Total Foot and Ankle;205 South Kentucky Ave;;Corbin;KY;40701;;;;003
D;BCO3;;PR;1;Mary Parsley;
D;827W090;;PR;1;Mary Parsley;
H;C04439;C04439;;20250514;TA110074;;;;;Total Foot and Ankle;205 South Kentucky Ave;;Corbin;KY;40701;;;;003
D;90002XW060;;PR;1;Donald Day;
D;TDIWXW060;;PR;3;Donald Day;
H;C00130;C00130;;20250514;TA110075-051425TAHSVSF;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;051425TAHSVSF;003
D;FOP;;PR;1;Sandra French;
H;C04010;C04010;;20250514;TA110076;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;20011W110;;PR;1;Timothy Drake;
D;20011M110;;PR;1;Timothy Drake;
D;TDIMM110;;PR;3;Timothy Drake;