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General NPI Number Information
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NPI Number | 1962366021
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Entity Type | Organization
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Legal Business Name | SC - ASHLAND PLLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 105 LEE ST
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City | ASHLAND
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State | VA
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Zip | 23005-2031
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Country | US
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Telephone | 804-798-8447
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Fax | 804-496-1250
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Provider Business Mailing Address
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Address Line | 105 LEE ST
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City | ASHLAND
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State | VA
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Zip | 23005-2031
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Country | US
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Telephone | 804-798-8447
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Fax | 804-496-1250
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | SAVANNAH LYNN GIRARD
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Credential |
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Telephone | 228-355-2965
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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 |
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License Number State |
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