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General NPI Number Information
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NPI Number | 1376571711
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Entity Type | Organization
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Legal Business Name | ASHTON PLACE, LLC
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 318 STROZIER LANE
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City | BARLING
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State | AR
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Zip | 72923-1436
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Country | US
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Telephone | 479-452-8181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1009
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City | GORE
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State | OK
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Zip | 74435-1009
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Country | US
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Telephone | 918-489-2755
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN BRADFORD MONTGOMERY
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Credential |
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Telephone | 918-489-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 804
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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