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General NPI Number Information
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NPI Number | 1124448774
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Entity Type | Individual
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Provider Name | IRINA ARKHIPOVA-JENKINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 93 CHERRY ST UNIT G1
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City | NEW CANAAN
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State | CT
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Zip | 06840-5521
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Country | US
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Telephone | 844-359-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 MAIN ST STE 576
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City | BRANFORD
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State | CT
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Zip | 06405-3787
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Country | US
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Telephone |
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 319645
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 35.150900
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License Number State | OH
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