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General NPI Number Information
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NPI Number | 1891444337
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Entity Type | Individual
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Provider Name | JORDAN E JONES DO
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 1010 SPRUCE ST FL 2
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City | ESPANOLA
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State | NM
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Zip | 87532-2724
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Country | US
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Telephone | 505-367-0340
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Fax | 505-367-0346
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Provider Business Mailing Address
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Address Line | PO BOX 26666
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 113353
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MED-RES-LIC-113353
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO2025-0090
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License Number State | NM
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