C00125;TA111607;20017XW095;1;;Anthony Caravella;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA111607;TDIMXW095;3;;Anthony Caravella;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA111607;COMP;Yes
