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General NPI Number Information
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NPI Number | 1104047067
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Entity Type | Individual
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Provider Name | ASHLEY L FIELDS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 24 SPRING ST SUITE B
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City | CABOT
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State | AR
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Zip | 72023-2473
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Country | US
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Telephone | 501-941-5439
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Fax | 501-941-2453
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Provider Business Mailing Address
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Address Line | 24 SPRING ST SUITE B
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City | CABOT
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State | AR
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Zip | 72023-2473
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Country | US
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Telephone | 501-941-5439
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Fax | 501-941-2453
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3433
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License Number State | AR
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