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General NPI Number Information
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NPI Number | 1528391844
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Entity Type | Individual
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Provider Name | CHARLEY J CASH HAD
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Gender | Male
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 3526 OSBORNE LN STE D
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City | LAFAYETTE
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State | IN
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Zip | 47909-3998
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Country | US
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Telephone | 765-471-2111
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Fax | 765-471-2112
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Provider Business Mailing Address
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Address Line | 3526 OSBORNE LN STE D
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City | LAFAYETTE
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State | IN
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Zip | 47909-3998
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Country | US
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Telephone | 765-471-2111
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Fax | 765-471-2112
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 17001329A
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License Number State | IN
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