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General NPI Number Information
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NPI Number | 1396130266
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Entity Type | Individual
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Provider Name | JORDAN HARDVAL ED.S., M.ED., B.A.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 1040 GASKINS RD
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City | CINCINNATI
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State | OH
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Zip | 45245-2746
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Country | US
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Telephone | 513-947-7841
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Fax |
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Provider Business Mailing Address
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Address Line | 2065 SUTTON AVE APT 6
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City | CINCINNATI
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State | OH
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Zip | 45230-1669
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Country | US
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Telephone | 330-978-9233
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH3151590
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License Number State | OH
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