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General NPI Number Information
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NPI Number | 1073430211
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Entity Type | Organization
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Legal Business Name | JORDAN AND JORDAN HEALTHCARE AND MANAGEMENT SOLUTIONS NC PLLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 2112 SKIBO RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-0233
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Country | US
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Telephone | 318-294-7667
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 SKIBO RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-0233
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Country | US
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Telephone | 318-294-7667
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CALEB LEE JORDAN
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Credential | MD
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Telephone | 318-294-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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