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General NPI Number Information
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NPI Number | 1902731300
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Entity Type | Individual
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Provider Name | JULYZBETH JORDAN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 2845 AVENTURA BLVD STE 301
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City | AVENTURA
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State | FL
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Zip | 33180-3118
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Country | US
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Telephone | 305-692-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 18245 NW 68TH AVE APT 623
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City | HIALEAH
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State | FL
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Zip | 33015-3480
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Country | US
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Telephone | 305-607-0491
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11048490
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License Number State | FL
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