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General NPI Number Information
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NPI Number | 1871141382
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Entity Type | Individual
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Provider Name | JORDYN CLAY GLOVER PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 4040 FAIRFAX DR STE 120
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City | ARLINGTON
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State | VA
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Zip | 22203-1613
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Country | US
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Telephone | 703-292-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 WISTERIA DR STE A
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City | SNELLVILLE
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State | GA
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Zip | 30078-2689
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Country | US
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Telephone | 770-982-0102
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Fax | 770-982-0130
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP038505T
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License Number State | DC
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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 | CP051767T
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT014314
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License Number State | GA
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