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General NPI Number Information
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NPI Number | 1912640442
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Entity Type | Individual
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Provider Name | ASHLEY BANKS
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Gender | Female
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 08/06/2023
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Provider Practice Location Address
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Address Line | 31381 DOGWOOD ACRES DR
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City | DAGSBORO
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State | DE
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Zip | 19939-4076
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Country | US
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Telephone | 302-732-3852
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Fax |
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Provider Business Mailing Address
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Address Line | 31381 DOGWOOD ACRES DR
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City | DAGSBORO
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State | DE
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Zip | 19939-4076
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | G10011561
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License Number State | DE
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