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NPI 1700033792

NPI 1700033792 : CHARLES CASH INC. : FORT MYERS, FL

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General NPI Number Information
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    NPI Number           |    1700033792
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHARLES CASH INC. 
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Dates
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    Enumeration Date     |    08/21/2008
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    Last Update Date     |    08/21/2008
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Provider Practice Location Address
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    Address Line         |    4125 CLEVELAND AVE SUITE 1415
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33901-9046
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    Country              |    US
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    Telephone            |    239-936-4656
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    Fax                  |    239-936-4033
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Provider Business Mailing Address
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    Address Line         |    4125 CLEVELAND AVE 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33901-9046
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    Country              |    US
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    Telephone            |    239-936-4656
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    Fax                  |    239-936-4033
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MS. CYNTHIA ANN STEVER 
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    Credential           |    
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    Telephone            |    239-936-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332S00000X
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    Taxonomy Name        |    Hearing Aid Equipment
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    License Number       |    AS2048
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    License Number State |    FL
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