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General NPI Number Information
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NPI Number | 1598482747
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Entity Type | Individual
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Provider Name | ASHTYN GOODREAU D.M.D., M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1300 HORIZON DRIVE SUITE 117
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City | CHALFONT
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State | PA
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Zip | 18914-3970
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Country | US
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Telephone | 215-997-0200
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Fax | 215-997-0659
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Provider Business Mailing Address
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Address Line | 1300 HORIZON DRIVE SUITE 117
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City | CHALFONT
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State | PA
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Zip | 18914-3970
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Country | US
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Telephone | 215-997-0200
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Fax | 215-997-0659
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS043897
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License Number State | PA
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