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General NPI Number Information
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NPI Number | 1306898028
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Entity Type | Individual
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Provider Name | WILLIAM MCCALL JORDAN DO
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 95 S PAGOSA BLVD
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147-8329
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Country | US
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Telephone | 970-507-4000
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Fax | 970-731-1988
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Provider Business Mailing Address
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Address Line | 800 W MAGNOLIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4611
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Country | US
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Telephone | 817-759-7000
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Fax | 817-759-7027
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | E1345
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | DR.0043185
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | E1345
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License Number State | TX
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