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General NPI Number Information
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NPI Number | 1932900651
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Entity Type | Individual
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Provider Name | JORDAN PEREZ FNP
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Gender | Male
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 24 ORCHARD VIEW DR STE 2
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City | LONDONDERRY
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State | NH
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Zip | 03053-3376
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Country | US
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Telephone | 603-782-9081
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Fax | 603-260-5581
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Provider Business Mailing Address
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Address Line | 57 PINEDALE AVE
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City | HAVERHILL
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State | MA
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Zip | 01830-2023
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Country | US
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Telephone | 978-914-3939
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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 | 113874-23
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License Number State | NH
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