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General NPI Number Information
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NPI Number | 1568946960
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Entity Type | Individual
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Provider Name | JORDAN YUEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3526 LONGMIRE DR STE 102
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City | COLLEGE STATION
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State | TX
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Zip | 77845-6473
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Country | US
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Telephone | 575-640-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 3571 FAR WEST BLVD # 3483
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City | AUSTIN
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State | TX
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Zip | 78731-3064
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Country | US
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Telephone | 575-640-8818
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 118464
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License Number State | TX
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