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General NPI Number Information
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NPI Number | 1407295819
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Entity Type | Individual
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Provider Name | ASHLEY SEALS DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 1286 STATE ROUTE 3 S STE 7
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City | CROFTON
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State | MD
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Zip | 21114-1340
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Country | US
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Telephone | 410-721-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 8710 CAMERON ST UNIT 1322
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City | SILVER SPRING
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State | MD
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Zip | 20910-3768
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Country | US
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Telephone | 240-997-1415
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 15391
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License Number State | MD
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