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General NPI Number Information
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NPI Number | 1083144646
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Entity Type | Individual
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Provider Name | JORDAN SALOW MCWHORTER RDH
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | BUILDING 236
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City | YOMITAN-SON NAKAGAMI-GUN
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State | OKINAWA
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Zip | 96376
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Country | JP
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Telephone | 644-411-0000
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 559 BOX 6224
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City | FPO
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State | AP
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Zip | 96377-0063
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Country | US
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Telephone | 760-420-7624
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 30639
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License Number State | CA
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