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General NPI Number Information
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NPI Number | 1003780917
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Entity Type | Organization
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Legal Business Name | JORDAN SELMAN WELLNESS LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1118 11 BAKER BLVD SUITE 204 PMB 230
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City | CLEVELAND
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State | OH
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Zip | 44120
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Country | US
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Telephone | 216-309-0697
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Fax |
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Provider Business Mailing Address
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Address Line | 14308 SUPERIOR RD APT 3
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-1774
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Country | US
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Telephone | 216-309-0697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN SELMAN
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Credential | LISW
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Telephone | 216-659-9025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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