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General NPI Number Information
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NPI Number | 1295610905
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Entity Type | Organization
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Legal Business Name | JORDAN CHIROPRACTIC, INC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1901 OHIO DR
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City | GROVE CITY
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State | OH
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Zip | 43123-4835
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Country | US
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Telephone | 614-277-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 OHIO DR
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City | GROVE CITY
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State | OH
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Zip | 43123-4835
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Country | US
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Telephone | 614-277-8114
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. BRICE E JORDAN
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Credential | D.C.
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Telephone | 617-571-9660
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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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