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Individual
CHARLES DAILEY
Active
Individual
CHARLES DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2566530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104776
—
OH
01
—
2566530
MEDICARE DODD
OH
Enumeration date
10/16/2015
Last updated
07/16/2024
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