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General NPI Number Information
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NPI Number | 1679057343
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Entity Type | Organization
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Legal Business Name | ASHLEY SEALS, DDS, MS, LLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 8455 COLESVILLE RD STE 820
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City | SILVER SPRING
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State | MD
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Zip | 20910-6324
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Country | US
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Telephone | 301-375-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 COLESVILLE RD STE 820
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City | SILVER SPRING
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State | MD
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Zip | 20910-6324
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Country | US
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Telephone |
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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. ASHLEY SEALS
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Credential | DDS, MS
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Telephone | 301-375-0645
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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 |
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License Number State |
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