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General NPI Number Information
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NPI Number | 1285420778
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Entity Type | Individual
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Provider Name | JORDAN KELLEY LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 514 THAIN RD UNIT B
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City | LEWISTON
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State | ID
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Zip | 83501-5533
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Country | US
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Telephone | 208-746-3398
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Fax |
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Provider Business Mailing Address
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Address Line | 40432 WAHA GLEN RD
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City | LEWISTON
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State | ID
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Zip | 83501-5287
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Country | US
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Telephone | 253-740-0025
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3861573
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License Number State | ID
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