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General NPI Number Information
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NPI Number | 1619037223
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Entity Type | Organization
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Legal Business Name | DR ASH INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 4777 HIGBEE AVE NW
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City | CANTON
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State | OH
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Zip | 44718-2551
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Country | US
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Telephone | 330-493-0010
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Fax | 330-493-8440
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Provider Business Mailing Address
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Address Line | 4425 FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718-2863
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Country | US
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Telephone | 330-493-0010
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Fax | 330-493-8440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN M. ASH
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Credential | DDS
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Telephone | 330-493-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 19446
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19406
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License Number State | OH
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