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General NPI Number Information
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NPI Number | 1073662029
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Entity Type | Individual
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Provider Name | VERONICA DELORES JENKINS MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2041 MARTIN LUTHER KING JR AVE SE SUITE M2
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City | WASHINGTON
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State | DC
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Zip | 20020-7024
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Country | US
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Telephone | 202-889-7900
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Fax | 202-610-3095
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Provider Business Mailing Address
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Address Line | 10900 KENCREST DR
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-2449
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Country | US
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Telephone | 301-464-5749
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Fax | 301-464-8451
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD18395
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License Number State | DC
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