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General NPI Number Information
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NPI Number | 1336409317
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Entity Type | Individual
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Provider Name | ROBYN JORDAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 8024 GLENWOOD AVE STE 305
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City | RALEIGH
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State | NC
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Zip | 27612-1952
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Country | US
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Telephone | 919-205-9848
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Fax |
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Provider Business Mailing Address
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Address Line | 8024 GLENWOOD AVE STE 305
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City | RALEIGH
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State | NC
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Zip | 27612-1952
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Country | US
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Telephone | 919-205-9848
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 201301686
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License Number State | NC
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