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General NPI Number Information
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NPI Number | 1538542428
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Entity Type | Organization
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Legal Business Name | ALLGOOD FAMILY DENTISTRY, PLLC
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 5921 HARBOUR LN STE 100
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2161
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Country | US
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Telephone | 804-432-5771
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Fax |
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Provider Business Mailing Address
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Address Line | 5921 HARBOUR LN STE 100
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2161
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Country | US
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Telephone | 804-432-5771
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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. ASHLYN ALLGOOD PRICE
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Credential | DDS
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Telephone | 804-432-5771
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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 | 0401414858
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License Number State | VA
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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 | 0401414863
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License Number State | VA
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