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General NPI Number Information
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NPI Number | 1952706939
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Entity Type | Organization
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Legal Business Name | JORDAN MEDICAL BILLING, LLC
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 3255 NW 94TH AVE 9586
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City | CORAL SPRINGS
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State | FL
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Zip | 33075-2001
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Country | US
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Telephone | 888-240-5205
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Fax |
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Provider Business Mailing Address
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Address Line | 3255 NW 94TH AVE 9586
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City | CORAL SPRINGS
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State | FL
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Zip | 33075-2001
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Country | US
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Telephone | 888-240-5205
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Fax |
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Authorized Official
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Title or Position | BILLING AGENT/OWNER
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Name | MISS TAMICA JORDAN
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Credential |
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Telephone | 888-240-5205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5387842
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License Number State | FL
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