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General NPI Number Information
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NPI Number | 1295350536
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Entity Type | Individual
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Provider Name | JORDAN LEIGH BURDINE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-5302
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Country | US
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Telephone | 409-772-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 HAVEN WAY CT
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City | LEAGUE CITY
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State | TX
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Zip | 77573-7392
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Country | US
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Telephone | 903-780-5151
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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 | 1835P0200X
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Taxonomy Name | Pediatric Pharmacist
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License Number | 56651
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License Number State | TX
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