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General NPI Number Information
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NPI Number | 1992712111
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Entity Type | Individual
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Provider Name | CARLA MARY CASH NP, CNM
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 RABRO DRIVE EAST
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City | HAUGGAUGE
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State | NY
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Zip | 11788
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Country | US
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Telephone | 631-854-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 15 EDGEWOOD AVE
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2140
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Country | US
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Telephone | 631-928-4726
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 420505
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License Number State | NY
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