C04306;TA112527;TCO3;1;PATEL;HANASA PATEL-440;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/24/25
C04306;TA112527;825M090;1;PATEL;HANASA PATEL-440;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/24/25
C04306;TA112527;COMP;No
