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General NPI Number Information
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NPI Number | 1528851938
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Entity Type | Individual
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Provider Name | JORDAN E YOUNG
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2621 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1754
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Country | US
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Telephone | 513-751-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 12 TOWNE COMMONS WAY
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City | CINCINNATI
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State | OH
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Zip | 45215-6106
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Country | US
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Telephone | 513-802-2541
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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