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General NPI Number Information
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NPI Number | 1689782112
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Entity Type | Organization
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Legal Business Name | ASHFORD FAMILY DENTAL, INC.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 1549 BRICE RD
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City | REYNOLDSBURG
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State | OH
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Zip | 43068
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Country | US
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Telephone | 614-866-2656
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Fax | 614-864-7560
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Provider Business Mailing Address
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Address Line | 1549 BRICE RD
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-2307
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Country | US
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Telephone | 614-866-2656
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Fax | 614-864-7560
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. HELEN JEAN ASHFORD
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Credential | RN, DDS
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Telephone | 614-866-2656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.020589
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License Number State | OH
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