C00125;TA106517;80062W090;1;;Roslyn Roth;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA106517;TDIWW090;3;;Roslyn Roth;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA106517;COMP;Yes
