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General NPI Number Information
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NPI Number | 1306126396
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Entity Type | Individual
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Provider Name | ASHLEY MICHELLE PASCHAL DMD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 05/31/2020
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Provider Practice Location Address
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Address Line | 12683 W SUNRISE BLVD
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City | SUNRISE
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State | FL
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Zip | 33323-0907
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Country | US
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Telephone | 954-846-2222
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Fax | 954-846-2288
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Provider Business Mailing Address
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Address Line | 20890 HAMACA CT
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City | BOCA RATON
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State | FL
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Zip | 33433-2716
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Country | US
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Telephone | 215-370-3694
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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 | 22DI02478701
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License Number State | NJ
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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 | 22DI02478700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN21837
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License Number State | FL
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