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General NPI Number Information
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NPI Number | 1982533006
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Entity Type | Individual
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Provider Name | JORDAN AGEE M.S., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 1241 VOLUNTEER PKWY STE 400
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City | BRISTOL
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State | TN
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Zip | 37620-4635
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Country | US
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Telephone | 423-573-7626
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Fax | 423-573-7627
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Provider Business Mailing Address
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Address Line | 1241 VOLUNTEER PKWY STE 400
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City | BRISTOL
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State | TN
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Zip | 37620-4635
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Country | US
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Telephone | 423-573-7626
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Fax | 423-573-7627
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9529
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License Number State | TN
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