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General NPI Number Information
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NPI Number | 1447440243
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Entity Type | Individual
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Provider Name | RICHARD V. CASHIO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 61 MEMORIAL MEDICAL PARKWAY SUITE 2802
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City | PALM COAST
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State | FL
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Zip | 32164
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Country | US
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Telephone | 386-586-1880
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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 PARKWAY SUITE 2802
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City | PALM COAST
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State | FL
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Zip | 32164
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Country | US
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Telephone | 386-586-1880
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Fax | 386-586-1881
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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 | 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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