H;C04010;C04010;;20241211;TA101766;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;
D;80020XW080;;PR;1;Shobhna Patel;
D;80020W080;;PR;1;Shobhna Patel;
D;ORIWW080;;PR;1;Shobhna Patel;