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General NPI Number Information
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NPI Number | 1750619151
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Entity Type | Individual
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Provider Name | MS. APRIL GAY JORDAN
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Gender | Female
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 101 S WASHINGTON AVE
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City | CLEVELAND
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State | TX
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Zip | 77327-4414
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Country | US
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Telephone | 281-592-0491
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Fax | 281-592-0459
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Provider Business Mailing Address
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Address Line | 1 NOBLE RUN
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City | HUMBLE
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State | TX
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Zip | 77346-1662
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Country | US
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Telephone | 281-358-9275
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44178
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License Number State | TX
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