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General NPI Number Information
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NPI Number | 1013114883
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Entity Type | Organization
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Legal Business Name | CASHA-CROSS CHIROPRACTIC, INC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 5330 PRIMROSE DR SUITE 140
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City | FAIR OAKS
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State | CA
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Zip | 95628-3520
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Country | US
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Telephone | 916-967-7436
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Fax | 916-967-7456
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Provider Business Mailing Address
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Address Line | 5330 PRIMROSE DR SUITE 140
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City | FAIR OAKS
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State | CA
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Zip | 95628-3520
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Country | US
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Telephone | 916-967-7436
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Fax | 916-967-7456
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK S CASHA
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Credential | D.C.
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Telephone | 916-967-7436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | CA
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