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General NPI Number Information
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NPI Number | 1700050093
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Entity Type | Organization
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Legal Business Name | MELANIE E. JORDAN, DDS, PC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 816 STATE ST FLOOR ONE
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City | CURWENSVILLE
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State | PA
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Zip | 16833-1039
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Country | US
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Telephone | 814-236-0539
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Fax | 814-236-0443
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Provider Business Mailing Address
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Address Line | 816 STATE ST FLOOR ONE
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City | CURWENSVILLE
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State | PA
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Zip | 16833-1039
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Country | US
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Telephone | 814-236-0539
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Fax | 814-236-0443
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELANIE EILEEN JORDAN
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Credential | DDS
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Telephone | 814-236-0539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS031357L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS029353L
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License Number State | PA
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