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General NPI Number Information
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NPI Number | 1326045642
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Entity Type | Individual
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Provider Name | ARTHUR E JORDAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 1005 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4630
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Country | US
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Telephone | 864-404-3094
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Fax | 864-242-6517
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | EASLEY
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State | SC
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Zip | 29641-0484
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Country | US
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Telephone | 864-546-4497
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Fax | 864-546-4506
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 8003
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 8003
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License Number State | SC
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