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NPI 1427581057

NPI 1427581057 : ASHLEY BHANA DDS, MS : MAINEVILLE, OH

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General NPI Number Information
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    NPI Number           |    1427581057
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY BHANA DDS, MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2017
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    Last Update Date     |    12/20/2021
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Provider Practice Location Address
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    Address Line         |    5964 OH-48 
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    City                 |    MAINEVILLE
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    State                |    OH
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    Zip                  |    45039
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    Country              |    US
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    Telephone            |    513-239-8104
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1283 IDA ST APT 1 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45202-1542
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    Country              |    US
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    Telephone            |    870-405-1950
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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       |    10442
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    30.025674
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    10442
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    License Number State |    TN
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Taxonomy #4
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    30.025674
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    License Number State |    OH
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