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General NPI Number Information
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NPI Number | 1467605360
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Entity Type | Organization
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Legal Business Name | ROY F. ASHFORD, M.D., INC.
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 1505 WILSON TER SUITE 200
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City | GLENDALE
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State | CA
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Zip | 91206-4071
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Country | US
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Telephone | 818-246-8974
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Fax | 818-246-8790
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Provider Business Mailing Address
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Address Line | 4330 OAKWOOD AVE
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City | LA CANADA
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State | CA
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Zip | 91011-3411
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Country | US
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Telephone | 818-790-2086
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROY F ASHFORD
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Credential | M.D.,
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Telephone | 818-269-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | G64893
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License Number State | CA
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