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General NPI Number Information
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NPI Number | 1073625604
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Entity Type | Individual
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Provider Name | JAMES ELISHA JENKINS PH.D., P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 12 TROY RD
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City | DELAWARE
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State | OH
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Zip | 43015-4502
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Country | US
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Telephone | 740-513-4853
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Fax | 740-513-2334
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Provider Business Mailing Address
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Address Line | 11761 TRENTON RD
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City | GALENA
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State | OH
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Zip | 43021-9511
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Country | US
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Telephone | 740-971-8344
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Fax | 740-971-8344
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 007033
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License Number State | OH
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