H;C01645;C01645;;20250102;TA102546;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;TCO3;;PR;1;Fernando Roche;
D;429M120;;PR;1;Fernando Roche;
H;C01645;C01645;;20250102;TA102547;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;FOP;;PR;1;Mary Maddock;
H;C01270;C01270;;20250102;TA102548;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;;Toledo;OH;43613;;;
D;TCO3;;PR;1;Lavetta Tate;
D;80023M080;;PR;1;Lavetta Tate;
H;C01645;C01645;;20250102;TA102549;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;FOP;;PR;1;Kristin Nolan;
H;C00706;C00706;;20250102;TA102550;;;;;Crosby's Drugs & HME;2609 N High St;;Columbus;OH;43202;;;
D;794W100;;PR;1;Della Ann Hudson;
D;ORIWW100;;PR;1;Della Ann Hudson;
H;C01645;C01645;;20250102;TA102551;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;FOP;;PR;1;Riina Nicolina;
D;80016W075;;PR;1;Riina Nicolina;
H;C00130;C00130;;20250102;TA102552-HSVSS;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;HSVSS
D;410W080;;PR;1;MARILIUS ALLISON;
D;TDIMW080;;PR;1;MARILIUS ALLISON;
H;C01645;C01645;;20250102;TA102553;;;;;Klm Prosthetics;28 Ridge Rd;;Newtown;CT;06470;;;
D;FOP;;PR;1;Nichole Rayes;
H;C03262;C03262;;20250102;TA102555-407128370 1225;;;;;Family Foot Clinic;1880 Willamette Falls Drive Ste 111;;West Linn;OR;97068;;;407128370 1225
D;793M075;;PR;1;Savina Nelson;
D;ORIWM075;;PR;1;Savina Nelson;