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General NPI Number Information
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NPI Number | 1265004477
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Entity Type | Individual
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Provider Name | ASHLYN CATE GHAZAL DDS
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Gender | Female
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 29950 HAUN RD STE 302
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City | MENIFEE
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State | CA
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Zip | 92586-6527
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Country | US
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Telephone | 951-679-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 PACIFIC ST
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City | REDLANDS
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State | CA
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Zip | 92373-6935
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26281
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS107156
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License Number State | CA
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