H;C01268;C01268;;20250603;TA111192;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;;Toledo;OH;43613;;;;003
D;TCO3;;PR;1;Donald Phillips;
D;648W090;;PR;1;Donald Phillips;
D;COMP;;PR;No;;
H;C03655;C03655;;20250603;TA111194-06032025;;;;;Erie;224 West 26th Street;;Erie;PA;16508;;;06032025;003
D;20021XW110;;PR;1;JOHN ZWADUK;
D;ORIMXW110;;PR;2;JOHN ZWADUK;
D;COMP;;PR;No;;