H;C01111;C01111;;20250612;TA111791;;;;;Family Foot Care;104 Technology Drive Suite 103;;Butler;PA;16001;;;;003
D;BCO3;;PR;1;Elva Weston;
D;COMP;;PR;No;;
H;C01368;C01368;;20250612;TA111795;;;;;Newman Community Rx;1400 W12th Ave;;Emporia;KS;66801;;;;003
D;BCO3;;PR;1;Diane Barber;
D;COMP;;PR;No;;
H;C00130;C00130;;20250612;TA111811-061125TAHSVVA;;;;;Alabama O&P;2100 Franklin Street;;Huntsville;AL;35801;;;061125TAHSVVA;003
D;TCO2;;PR;1;Douglas Patterson;
D;22002W095;;PR;1;Douglas Patterson;
D;COMP;;PR;No;;