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General NPI Number Information
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NPI Number | 1841612223
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Entity Type | Organization
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Legal Business Name | JORDO PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 01/20/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 17328 NEWLANDS CORNER LN
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City | CHARLOTTE
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State | NC
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Zip | 28277-2480
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Country | US
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Telephone | 954-643-2819
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Fax |
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Provider Business Mailing Address
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Address Line | 17328 NEWLANDS CORNER LN
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City | CHARLOTTE
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State | NC
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Zip | 28277-2480
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Country | US
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Telephone | 954-643-2819
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Fax |
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Authorized Official
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Title or Position | PRESIDENT,ORGANIZER
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Name | JEFFREY V ORDONIO
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Credential | PT
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Telephone | 954-543-2819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11269
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11561
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License Number State | NC
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