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General NPI Number Information
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NPI Number | 1619690252
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Entity Type | Individual
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Provider Name | JORDAN LINDSEY TRAINOR DC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 800 8TH AVE STE 114
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City | FORT WORTH
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State | TX
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Zip | 76104-2606
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Country | US
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Telephone | 817-207-5822
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Fax |
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Provider Business Mailing Address
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Address Line | 316 SPECTRUM RD
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City | SUMMERVILLE
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State | SC
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Zip | 29486-0903
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15253
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License Number State | TX
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