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General NPI Number Information
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NPI Number | 1700827706
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Entity Type | Individual
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Provider Name | JOHN ROBERT NORDIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 4007 M L KING JR BLVD
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City | NEW BERN
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State | NC
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Zip | 28562-2243
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Country | US
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Telephone | 252-772-9995
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Fax | 252-221-3939
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | FAISON
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State | NC
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Zip | 28341-0187
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Country | US
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Telephone | 910-267-2042
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Fax | 855-996-9090
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0027990
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2010-01265
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License Number State | NC
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