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General NPI Number Information
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NPI Number | 1881170843
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Entity Type | Individual
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Provider Name | ASHLEY DUNWOODY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 1247 W WALNUT AVE
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City | DALTON
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State | GA
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Zip | 30720-3958
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Country | US
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Telephone | 706-428-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MOLLY WAY
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City | LA FAYETTE
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State | GA
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Zip | 30728-4592
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Country | US
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Telephone | 901-713-3392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42153
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH030648
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License Number State | GA
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