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General NPI Number Information
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NPI Number | 1912761792
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Entity Type | Individual
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Provider Name | JORDANN ALEXANDRA ADAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3745 11TH CIR STE 101
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City | VERO BEACH
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State | FL
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Zip | 32960-4838
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Country | US
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Telephone | 772-589-0580
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Fax | 772-589-0760
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Provider Business Mailing Address
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Address Line | 3745 11TH CIR STE 101
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City | VERO BEACH
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State | FL
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Zip | 32960-4838
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Country | US
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Telephone | 772-589-0580
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Fax | 772-589-0760
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | APRN11030245
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11030245
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License Number State | FL
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