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General NPI Number Information
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NPI Number | 1649507518
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Entity Type | Organization
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Legal Business Name | ASHLEY S HARRISON DDS CORP
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 1660 HUMBOLDT RD STE 1
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City | CHICO
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State | CA
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Zip | 95928-9199
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Country | US
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Telephone | 530-894-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 HUMBOLDT RD STE 1
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City | CHICO
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State | CA
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Zip | 95928-9199
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Country | US
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Telephone | 530-894-5454
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ASHLEY SAUNDERSON HARRISON
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Credential | D.D.S.
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Telephone | 530-894-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 57346
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License Number State | CA
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