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General NPI Number Information
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NPI Number | 1669313185
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Entity Type | Individual
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Provider Name | JORDAN GRACE KELLY LICENSED PARAMEDIC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 1600 BIOVU DR
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City | GALVESTON
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State | TX
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Zip | 77551-1417
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Country | US
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Telephone | 409-974-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 BIOVU DR
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City | GALVESTON
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State | TX
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Zip | 77551-1417
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Country | US
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Telephone | 409-974-1500
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 780125
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License Number State | TX
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