C00125;TA108173;80023XW075;1;;Adrienne Gutterman;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA108173;TDIWXW075;3;;Adrienne Gutterman;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA108173;COMP;Yes
