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General NPI Number Information
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NPI Number | 1437553062
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Entity Type | Individual
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Provider Name | ARIEL JORDAN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1701 N GREEN VALLEY PKWY STE 9A
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City | HENDERSON
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State | NV
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Zip | 89074-5991
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Country | US
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Telephone | 702-407-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 3978 SILVER STRIKE CT
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City | LAS VEGAS
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State | NV
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Zip | 89129-1833
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Country | US
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Telephone |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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