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General NPI Number Information
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NPI Number | 1720526924
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Entity Type | Organization
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Legal Business Name | ASHLEY & GRAY D.D.S.'S
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 1520 E 23RD STR STE Q
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City | INDEPENDENCE
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State | MO
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Zip | 64055
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Country | US
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Telephone | 816-252-9190
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Fax | 816-252-9390
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Provider Business Mailing Address
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Address Line | 1520 E 23RD STR STE Q
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City | INDEPENDENCE
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State | MO
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Zip | 64055
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Country | US
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Telephone | 816-252-9190
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Fax | 816-252-9390
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID A. ASHLEY
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Credential | D.D.S.
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Telephone | 816-252-9190
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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 | 13315
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License Number State | MO
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