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General NPI Number Information
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NPI Number | 1750825030
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Entity Type | Individual
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Provider Name | MRS. JORDYN ACKERMAN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 11 MUNICIPAL DR STE 200
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City | FISHERS
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State | IN
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Zip | 46038-1634
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Country | US
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Telephone | 812-820-0786
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Fax | 909-387-7611
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Provider Business Mailing Address
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Address Line | 6895 SUN RIVER DR
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City | FISHERS
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State | IN
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Zip | 46038-2724
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Country | US
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Telephone | 812-820-0786
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35002328A
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License Number State | IN
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