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General NPI Number Information
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NPI Number | 1790654903
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Entity Type | Individual
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Provider Name | JORDAN ARNESON TLMFT
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Gender | Male
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 320 W CHERRY ST
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-8819
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Country | US
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Telephone | 319-626-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1499 OZARK RDG
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City | CORALVILLE
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State | IA
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Zip | 52241-1079
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Country | US
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Telephone |
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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 | 125333
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License Number State | IA
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