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General NPI Number Information
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NPI Number | 1336521012
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Entity Type | Individual
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Provider Name | ASHLEY JORDAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1010 S FEDERAL HWY STE 1010
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5132
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Country | US
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Telephone | 561-331-6959
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Fax |
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Provider Business Mailing Address
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Address Line | 771 NW 82ND TER
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City | PLANTATION
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State | FL
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Zip | 33324-1235
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Country | US
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Telephone | 781-710-5965
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT209249
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME169377
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License Number State | FL
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