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General NPI Number Information
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NPI Number | 1831507854
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Entity Type | Individual
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Provider Name | RACHEL V JORDAN PHD, ATC, LAT, NASM
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Gender | Female
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 9455 TWO HILLS CT
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City | COLUMBIA
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State | MD
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Zip | 21045-3228
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Country | US
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Telephone | 443-902-7562
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Fax |
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Provider Business Mailing Address
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Address Line | 9455 TWO HILLS CT
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City | COLUMBIA
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State | MD
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Zip | 21045-3228
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Country | US
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Telephone | 443-902-7562
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | BOC110702025
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL3268
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126001390
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT23000041
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License Number State | DC
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