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Individual
MR. RANDY L DANIEL
Active
Individual
MR. RANDY L DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02290
DE
224P00000X
Prosthetist
Primary
CPO02290
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009190511
—
VA
01
—
384410
BCBS
VA
Enumeration date
04/23/2010
Last updated
06/10/2013
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