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General NPI Number Information
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NPI Number | 1881586105
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Entity Type | Individual
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Provider Name | JORDAN A TOOHEY
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 100 ST LUKES LN
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City | STROUDSBURG
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State | PA
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Zip | 18360-6217
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Country | US
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Telephone | 886-785-8537
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Fax |
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Provider Business Mailing Address
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Address Line | 1795 CHARDONNAY DR
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City | EASTON
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State | PA
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Zip | 18045-5437
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Country | US
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Telephone | 610-442-4857
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA007387
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA066797
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License Number State | PA
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