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General NPI Number Information
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NPI Number | 1144932245
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Entity Type | Organization
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Legal Business Name | JENKINS AND ZANDER, PLLC
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 3850 S MERIDIAN STE 5
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City | PUYALLUP
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State | WA
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Zip | 98373-3701
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Country | US
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Telephone | 253-697-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 COLE ST
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City | ENUMCLAW
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State | WA
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Zip | 98022-3507
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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 | PARTNER
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Name | JOSEPH JENKINS
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Credential | DDS
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Telephone | 740-441-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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