H;C03535;C03535;;20250203;TA103953-2/3/25;;;;;Faculty Physicians;1415 Old Weisgarber Road suite 350;;Knoxville;TN;37909;;;2/3/25
D;TCO3;;PR;1;Travis Smith;
D;428XW095;;PR;1;Travis Smith;
H;C01270;C01270;;20250203;TA103959;;;;;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;;Toledo;OH;43613;;;
D;TCO3;;PR;1;Steve Mccall;
D;581M110;;PR;1;Steve Mccall;
H;C03522;C03522;;20250203;TA103961;;;;;Palm Coast;9 Pine Cone Dr #101;;Palm Coast;FL;32137;;;
D;TCO3;;PR;1;Cecelia Gitto;
D;80016W085;;PR;1;Cecelia Gitto;