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General NPI Number Information
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NPI Number | 1598387524
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Entity Type | Organization
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Legal Business Name | THOMAS E. CASHERO MD LLC
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 90 N 30TH ST STE 5
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City | CLINTON
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State | OK
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Zip | 73601-3100
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Country | US
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Telephone | 580-323-1665
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Fax | 580-323-1656
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Provider Business Mailing Address
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Address Line | PO BOX 1720
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City | CLINTON
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State | OK
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Zip | 73601-1318
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Country | US
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Telephone | 580-323-1665
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Fax | 580-323-1656
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NORA B JERNIGAN
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Credential |
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Telephone | 580-323-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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