H;C03655;C03655;;20250714;TA112547-06252025GR;;;;;Erie;224 West 26th Street;;Erie;PA;16508;;;06252025GR;003
D;80021M075;;PR;1;MARTHA CURRIE;
D;TDIWM075;;PR;3;MARTHA CURRIE;
D;COMP;;PR;No;;
H;C01630;C01630;;20250714;TA113710;;;;;Kevin Powers, Dpm;1791 W Third Street;;Bloomington;IN;47404;;;;003
D;827M085;;PR;1;Melanie Premo;
D;COMP;;PR;No;;
H;C01630;C01630;;20250714;TA113711;;;;;Kevin Powers, Dpm;1791 W Third Street;;Bloomington;IN;47404;;;;003
D;87003M100;;PR;1;Jessica Clark;
D;COMP;;PR;No;;
H;C01630;C01630;;20250714;TA113712;;;;;Kevin Powers, Dpm;1791 W Third Street;;Bloomington;IN;47404;;;;003
D;80022M100;;PR;1;Lesle Payne;
D;COMP;;PR;No;;
H;C01118;C01118;;20250714;TA113720;;;;;Family Footcare Pc;29355 Northwestern Hwy Suite 110;;Southfield;MI;48034;;;;003
D;80051M080;;PR;1;Hattie Coleman-Hunt;
D;TDIWM080;;PR;3;Hattie Coleman-Hunt;
D;COMP;;PR;No;;
H;C03535;C03535;;20250714;TA113721-7/14/25;;;;;Faculty Physicians;1415 Old Weisgarber Road suite 350;;Knoxville;TN;37909;;;7/14/25;003
D;FOP;;PR;1;Logan Easterling;
D;COMP;;PR;No;;
H;C00168;C00168;;20250714;TA113722;;;;;Alliance Prosthetics and Orthotics;12458 Washington Blvd;;Whittier;CA;90602;;;;003
D;TCO3;;PR;1;Richard Rodarte;
D;COMP;;PR;No;;
H;C00168;C00168;;20250714;TA113723;;;;;Alliance Prosthetics and Orthotics;12458 Washington Blvd;;Whittier;CA;90602;;;;003
D;TCO3;;PR;1;Guillermina Vasquez;
D;COMP;;PR;No;;