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General NPI Number Information
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NPI Number | 1174540785
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Entity Type | Individual
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Provider Name | JENNIFER T. JENKINS MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 6151 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-1907
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Country | US
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Telephone | 918-502-6135
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Fax | 918-502-6137
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE SUITE 1400
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City | TULSA
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State | OK
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Zip | 74136-3347
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Country | US
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Telephone | 918-488-6001
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Fax | 918-488-6010
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME82819
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License Number State | FL
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