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General NPI Number Information
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NPI Number | 1811448632
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Entity Type | Individual
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Provider Name | NATHAN GALE DAILEY PT, DPT, OCS
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Gender | Male
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 200 E TRADE ST STE 4
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2671
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Country | US
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Telephone | 864-531-2797
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Fax |
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD DEPT OF
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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