H;C02408;C02408;;20250626;TA112441-23203;;;;;Winchester;333 West Cork Street;;Winchester;VA;22601;;;23203;003
D;BCO3;;PR;1;Carol Householder;
D;80025W100;;PR;1;Carol Householder;
D;COMP;;PR;No;;
H;C04439;C04439;;20250626;TA112605;;;;;Total Foot and Ankle;205 South Kentucky Ave;;Corbin;KY;40701;;;;003
D;PPFL;;PR;1;Richard Pendrey;
D;20013M080;;PR;1;Richard Pendrey;
D;COMP;;PR;No;;