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General NPI Number Information
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NPI Number | 1346804812
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Entity Type | Individual
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Provider Name | JORDYN ELIZABETH TEMPLE MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1341 W 6TH ST
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City | WALDRON
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State | AR
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Zip | 72958-7642
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Country | US
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Telephone | 479-637-2136
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Fax | 479-637-5411
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Provider Business Mailing Address
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Address Line | 1341 W 6TH ST
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City | WALDRON
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State | AR
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Zip | 72958-7642
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Country | US
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Telephone | 479-637-2136
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Fax | 479-637-5411
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34950
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 34950
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-15392
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License Number State | AR
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