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General NPI Number Information
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NPI Number | 1548442809
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Entity Type | Organization
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Legal Business Name | ASHLEY JACKSON PLUMMER,D.D.S., P.A.
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 123 W GROVE ST
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City | EL DORADO
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State | AR
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Zip | 71730-4608
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Country | US
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Telephone | 870-864-0338
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Fax | 870-864-0229
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Provider Business Mailing Address
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Address Line | 123 W GROVE ST
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City | EL DORADO
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State | AR
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Zip | 71730-4608
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Country | US
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Telephone | 870-864-0338
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Fax | 870-864-0229
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ASHLEY JACKSON PLUMMER
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Credential |
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Telephone | 870-864-0338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3443
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License Number State | AR
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