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General NPI Number Information
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NPI Number | 1134780307
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Entity Type | Individual
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Provider Name | ASHTON TAYLOR MONKS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 4850 N WASHINGTON ST
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City | FORREST CITY
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State | AR
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Zip | 72335-7674
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Country | US
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Telephone | 870-630-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 610 E LAKE DR N
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City | MARION
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State | AR
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Zip | 72364-2678
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Country | US
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Telephone | 931-993-1448
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Fax |
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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 | 11102
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4072-19
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4514
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License Number State | AR
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