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General NPI Number Information
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NPI Number | 1033529870
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Entity Type | Organization
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Legal Business Name | RICHARD CASHIO MD PLASTIC SURGERY P.L.
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 61 MEMORIAL MEDICAL PKWY SUITE 2802
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City | PALM COAST
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State | FL
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Zip | 32164-5981
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Country | US
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Telephone | 386-225-0634
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Fax | 386-586-1881
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Provider Business Mailing Address
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Address Line | 61 MEMORIAL MEDICAL PKWY SUITE 2802
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City | PALM COAST
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State | FL
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Zip | 32164-5981
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Country | US
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Telephone | 386-225-0634
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Fax | 386-586-1881
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICHARD V CASHIO
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Credential | MD
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Telephone | 386-225-0634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME98718
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License Number State | FL
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