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General NPI Number Information
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NPI Number | 1912266214
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Entity Type | Individual
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Provider Name | ASHLEY JENNIFER YOUNG D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 03/19/2024
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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 | 785-452-8949
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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 | 785-452-8949
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Fax | 785-493-0224
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 60947
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License Number State | KS
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