H;C01268;C01268;;20250516;TA110219;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;;003
D;80014M075;;PR;1;Maria Lopez;
D;TDIWM075;;PR;1;Maria Lopez;
H;C04010;C04010;;20250516;TA110222;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;73031W085;;PR;1;Betsey Kelsey;
D;TDIWW085;;PR;3;Betsey Kelsey;
H;C00130;C00130;;20250516;TA110225;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;;003
D;FOP;;PR;1;TRAVIS  LOGAN;