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General NPI Number Information
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NPI Number | 1053064394
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Entity Type | Individual
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Provider Name | ASHLEIGH CARMEN DUNNIVAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1639 BRADLEY PARK DR STE 600
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City | COLUMBUS
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State | GA
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Zip | 31904-3625
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Country | US
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Telephone | 706-571-3426
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Fax | 706-571-3434
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Provider Business Mailing Address
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Address Line | 1639 BRADLEY PARK DR STE 600
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City | COLUMBUS
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State | GA
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Zip | 31904-3625
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Country | US
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Telephone | 706-571-3426
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Fax | 706-571-3434
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RPH035297
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License Number State | GA
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