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General NPI Number Information
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NPI Number | 1740895002
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Entity Type | Organization
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Legal Business Name | ASHLEY STARNESDMD LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 5482 CHAMBLEE DUNWOODY RD STE 9
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City | DUNWOODY
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State | GA
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Zip | 30338-4142
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Country | US
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Telephone | 404-797-8096
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Fax |
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Provider Business Mailing Address
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Address Line | 4567 CHARDONNAY CT
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City | DUNWOODY
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State | GA
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Zip | 30338-5519
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Country | US
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Telephone | 404-797-8096
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Fax |
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Authorized Official
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Title or Position | DEDNTIST/OWNER
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Name | DR. ASHLEY STARNES
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Credential | DMD
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Telephone | 404-797-8096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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