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General NPI Number Information
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NPI Number | 1407662752
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Entity Type | Individual
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Provider Name | JORDAN TAYLOR CARROLL DC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1660 S ALBION ST STE 227
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City | DENVER
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State | CO
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Zip | 80222-4041
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Country | US
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Telephone | 720-214-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 830 TAPESTRY WAY APT 2203
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City | KNOXVILLE
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State | TN
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Zip | 37932-3532
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Country | US
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Telephone | 803-467-0492
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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