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General NPI Number Information
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NPI Number | 1386317329
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Entity Type | Individual
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Provider Name | ASHLEY BRIDGES HOWELL DMD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 130 LAKE FOREST DR
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City | BRANDON
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State | MS
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Zip | 39047-7387
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Country | US
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Telephone | 601-479-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 130 LAKE FOREST DR
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City | BRANDON
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State | MS
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Zip | 39047-7387
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Country | US
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Telephone | 601-479-4475
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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 | 4237-21
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License Number State | MS
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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 | 4237-21
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License Number State | MS
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