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General NPI Number Information
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NPI Number | 1215220876
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Entity Type | Organization
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Legal Business Name | JORDAN H. COUNCILL DDS PA
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 10 BROOK ST SUITE 215
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City | ASHEVILLE
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State | NC
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Zip | 28803-5500
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Country | US
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Telephone | 828-398-4910
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Fax | 877-828-5936
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Provider Business Mailing Address
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Address Line | 10 BROOK ST SUITE 215
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City | ASHEVILLE
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State | NC
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Zip | 28803-5500
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Country | US
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Telephone | 828-398-4910
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Fax | 877-828-5936
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORDAN H COUNCILL
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Credential | D.D.S.
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Telephone | 828-398-4910
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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 | 8862
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License Number State | NC
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