C04306;TA113665;BCO3;1;;316649DDH -846;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/14/25
C04306;TA113665;20015XW090;1;;316649DDH -846;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/14/25
C04306;TA113665;COMP;No
