H;C03535;C03535;;20250505;TA109464-5/5/25;;;;;Faculty Physicians;1415 Old Weisgarber Road suite 350;;Knoxville;TN;37909;;;5/5/25;003
D;FOP;;PR;1;Jesse Washington;
H;C04010;C04010;;20250505;TA109471;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;;003
D;40032W080;;PR;1;Timothy Burns;
D;TDIMW080;;PR;3;Timothy Burns;