C01268;TA111626;80023M075;1;;Irene Hartman;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;06/10/25
C01268;TA111626;TDIWM075;1;;Irene Hartman;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;06/10/25
C01268;TA111626;COMP;No
