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General NPI Number Information
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NPI Number | 1003044918
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Entity Type | Organization
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Legal Business Name | ASHLEY FLOWERS, DDS, PA
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 507 NORTH MAIN STREET
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City | SPARTA
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State | NC
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Zip | 28675
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Country | US
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Telephone | 336-372-3434
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Fax | 336-372-1870
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Provider Business Mailing Address
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Address Line | 507 NORTH MAIN STREET PO BOX 1870
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City | SPARTA
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State | NC
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Zip | 28675
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Country | US
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Telephone | 336-372-3434
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Fax | 336-372-1870
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LAURA ASHLEY FLOWERS
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Credential | D.D.S.
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Telephone | 336-372-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8817
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License Number State | NC
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