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General NPI Number Information
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NPI Number | 1215112644
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Entity Type | Organization
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Legal Business Name | ASHLEY V. MCARTHUR DMD PC
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 284 DEWEY ST
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City | LUCEDALE
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State | MS
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Zip | 39452-6547
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Country | US
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Telephone | 601-947-2229
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Fax | 601-947-2484
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Provider Business Mailing Address
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Address Line | 284 DEWEY ST
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City | LUCEDALE
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State | MS
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Zip | 39452-6547
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Country | US
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Telephone | 601-947-2229
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Fax | 601-947-2484
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ASHLEY VALENTINE MCARTHUR I
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Credential | DMD
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Telephone | 601-947-2229
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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 | 3236-02
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License Number State | MS
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