123321;TA100071;410W110;1;;Fname Lname;Test Clinic 32e;Main Street 1, TEST, TEST;NYC;NY;11111;09/27/24
123321;TA100071;ORIMW110;2;;Fname Lname;Test Clinic 32e;Main Street 1, TEST, TEST;NYC;NY;11111;09/27/24
