# MR. RANDY L DANIEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306163860
- **Gender:** Man
- **Credential:** CPO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | CPO02290 | DE | — |
| 224P00000X | Prosthetist | CPO02290 | DE | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 06/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009190511 | — | VA |
| 01 | — | 384410 | BCBS | VA |