H;C01268;C01268;;20250606;TA111470;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;;003
D;616M120;;PR;1;Lyndon Booker;
D;TDIMM120;;PR;1;Lyndon Booker;
D;COMP;;PR;No;;