H;C00130;C00130;;20250714;TA113655-071425TAHSVVALE;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;071425TAHSVVALE;003
D;20022W090;;PR;1;LARRY EVANS;
D;TDIMW090;;PR;1;LARRY EVANS;
D;COMP;;PR;No;;
H;C04214;C04214;;20250714;TA113656;;;;;Best Foot Forward Inc - Festus;1479 Highway 61 Suite B;;Festus;MO;63028;;;;003
D;BCO3;;PR;1;Ricky Putnam;
D;20011W110;;PR;1;Ricky Putnam;
D;COMP;;PR;No;;
H;C03655;C03655;;20250714;TA113657-07142025GR;;;;;PA Artificial Limb & Brace;224 West 26th Street;;Erie;PA;16508;;;07142025GR;003
D;20161W110;;PR;1;KENNETH WOODCOCK;
D;TDIMW110;;PR;2;KENNETH WOODCOCK;
D;COMP;;PR;No;;
H;C01270;C01270;;20250714;TA113666;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Mae Jackson;
D;80053W080;;PR;1;Mae Jackson;
D;COMP;;PR;No;;