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General NPI Number Information
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NPI Number | 1598404196
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Entity Type | Individual
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Provider Name | JORDAN OSUR MYERS RN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2185 PACHECO ST
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City | CONCORD
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State | CA
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Zip | 94520-2309
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Country | US
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Telephone | 925-676-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-4201
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Country | US
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Telephone | 404-727-7980
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95036118
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN95272499
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License Number State | CA
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