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General NPI Number Information
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NPI Number | 1467890541
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Entity Type | Individual
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Provider Name | ASHLEY JANE BLANCHFIELD D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 101 NW 12TH AVE STE 130
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City | BATTLE GROUND
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State | WA
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Zip | 98604-9145
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Country | US
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Telephone | 360-666-0530
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Fax |
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Provider Business Mailing Address
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Address Line | 320 BUNKER HOLLOW RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2890
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Country | US
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Telephone | 609-472-4256
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 016.0131058
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DE60935386
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License Number State | WA
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