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General NPI Number Information
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NPI Number | 1467396747
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Entity Type | Individual
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Provider Name | ASHLEY C BODART
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Gender | Female
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 1071 ROUTE 3 NORTH SUITE 201
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City | GAMBRILLS
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State | MD
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Zip | 21054
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Country | US
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Telephone | 443-300-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 BALIOL LN
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City | ODENTON
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State | MD
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Zip | 21113-1838
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Country | US
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Telephone |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 7887
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License Number State | MD
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