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General NPI Number Information
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NPI Number | 1023202074
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Entity Type | Organization
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Legal Business Name | WILLIAM C ASHFORD M.D.
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 07/29/2016
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Provider Practice Location Address
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Address Line | 501 BAPTIST DR SUITE 220
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City | MADISON
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State | MS
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Zip | 39110-2030
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Country | US
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Telephone | 601-985-9120
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Fax | 601-985-9122
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Provider Business Mailing Address
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Address Line | 501 BAPTIST DR SUITE 220
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City | MADISON
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State | MS
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Zip | 39110-2030
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Country | US
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Telephone | 601-985-9120
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Fax | 601-985-9122
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM C ASHFORD
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Credential | M.D.
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Telephone | 601-985-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 07279
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License Number State | MS
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