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General NPI Number Information
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NPI Number | 1205781523
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Entity Type | Organization
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Legal Business Name | DR. JORDAN GARLOCK
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 426 US ROUTE 1 STE 4D
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City | SCARBOROUGH
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State | ME
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Zip | 04074-2100
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Country | US
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Telephone | 207-671-7071
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Fax | 207-883-9924
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Provider Business Mailing Address
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Address Line | 426 US ROUTE 1 STE 4D
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City | SCARBOROUGH
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State | ME
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Zip | 04074-2100
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Country | US
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Telephone | 207-671-7071
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Fax | 207-883-9924
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JORDAN A GARLOCK
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Credential | DC
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Telephone | 207-671-7071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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