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General NPI Number Information
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NPI Number | 1104384684
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Entity Type | Individual
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Provider Name | BRITTNEY LATIA JENKINS
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Gender | Female
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4139
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Country | US
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Telephone | 719-634-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 5982 NW 16TH ST
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City | OCALA
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State | FL
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Zip | 34482-3917
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Country | US
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Telephone | 719-217-0263
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | NLC.0107764
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License Number State | CO
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