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1326276452

NPI Code Detail

MEDICARE: DR. CHERYLL NICOLETTE CASH M.D.

MEDICARE: DR. CHERYLL NICOLETTE CASH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD.205644	LA
2	207R00000X	Internal Medicine Physician	GETP.LJCMC-IM	LA
3	207R00000X	Internal Medicine Physician	0101267077	VA

General Provider Information

NPI Number	:	1326276452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYLL NICOLETTE CASH M.D.

Provider Business Mailing Address
First Line	:	1395 NW 167TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-5710
Country	:	US
Telephone Number	:	757-393-1136
Fax Number	:	757-698-2499

Provider Business Practice Location Address
First Line	:	4106 PORTSMOUTH BLVD
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23701-2968
Country	:	US
Telephone Number	:	757-393-1136
Fax Number	:	757-698-2499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2009
Last Update Date	:	12/21/2021

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Directions to “ DR. CHERYLL NICOLETTE CASH M.D.” Practice Location

Language	Start Address	Practice Location

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