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General NPI Number Information
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NPI Number | 1245144260
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Entity Type | Individual
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Provider Name | JORDAN DECKER
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 3651 E BASELINE RD STE 131
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City | GILBERT
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State | AZ
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Zip | 85234-2690
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Country | US
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Telephone | 480-306-4905
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 S MARKET ST APT 2081
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City | GILBERT
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State | AZ
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Zip | 85295-1369
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Country | US
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Telephone | 530-570-4588
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA14295
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License Number State | AZ
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