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General NPI Number Information
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NPI Number | 1134522568
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Entity Type | Organization
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Legal Business Name | ASHLEY CORNILS-GOLLIHER, P.C.
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 449 E MAIN ST
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City | HAGERSTOWN
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State | IN
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Zip | 47346-1337
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Country | US
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Telephone | 765-489-4440
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Fax | 765-489-4440
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Provider Business Mailing Address
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Address Line | 449 E MAIN ST
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City | HAGERSTOWN
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State | IN
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Zip | 47346-1337
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Country | US
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Telephone | 765-489-4440
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Fax | 765-489-4440
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHLEY R GOLLIHER
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Credential | DDS
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Telephone | 765-489-4440
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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 | 12010879A
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License Number State | IN
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