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General NPI Number Information
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NPI Number | 1871013441
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Entity Type | Individual
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Provider Name | DOROTHY DIANNE CASH NP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/23/2017
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Provider Practice Location Address
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Address Line | 1360 BRICKYARD RD
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City | CHIPLEY
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State | FL
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Zip | 32428-6303
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Country | US
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Telephone | 850-638-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 805 ROCK HILL CHURCH RD
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City | COTTONDALE
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State | FL
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Zip | 32431-8809
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Country | US
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Telephone | 850-326-9104
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9218489
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License Number State | FL
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