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General NPI Number Information
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NPI Number | 1689089310
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Entity Type | Organization
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Legal Business Name | ASHLEY J. YOUNG, DDS, LLC
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 06/20/2014
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Provider Practice Location Address
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Address Line | 1512B E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3236
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Country | US
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Telephone | 785-493-0214
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Fax | 785-493-0227
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Provider Business Mailing Address
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Address Line | 1512B E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3236
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Country | US
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Telephone | 785-493-0214
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Fax | 785-493-0227
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. ASHLEY JENNIFER YOUNG
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Credential | D.D.S.
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Telephone | 785-452-8949
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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 | 60947
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License Number State | KS
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