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General NPI Number Information
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NPI Number | 1306545348
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Entity Type | Individual
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Provider Name | GLORIA J JORDAN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 571 E 107TH ST
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City | CLEVELAND
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State | OH
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Zip | 44108-1431
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Country | US
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Telephone | 440-554-2156
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Fax | 216-278-7058
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Provider Business Mailing Address
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Address Line | 2313 LEE RD STE 414
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City | CLEVELAND HTS
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State | OH
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Zip | 44118-3427
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Country | US
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Telephone |
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Fax | 216-278-7058
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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