H;C02260;C02260;;20250519;TA109902-C.Vanbuskirk/poc/ms;;;;;Pocono Foot & Ankle;411 Dogwood Road;;Stroudsburg;PA;18360;;;C.Vanbuskirk/poc/ms;003
D;TCO3;;PR;1;Charles Vanbuskirk;
D;618M080;;PR;1;Charles Vanbuskirk;
H;C01630;C01630;;20250519;TA110311;;;;;Kevin Powers, Dpm;1791 W Third Street;;Bloomington;IN;47404;;;;003
D;BCO3;;PR;1;Betty Davis;
H;C01630;C01630;;20250519;TA110324;;;;;Kevin Powers, Dpm;1791 W Third Street;;Bloomington;IN;47404;;;;003
D;977W110;;PR;1;Betty Davis;
H;C04010;C04010;;20250519;TA110341;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;618M115;;PR;1;John Emerling;
D;TDIMM115;;PR;3;John Emerling;