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General NPI Number Information
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NPI Number | 1174828644
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Entity Type | Organization
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Legal Business Name | GEORGE L. JENKINS, D.C., P.C.
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 618 CORNWALL RD SUITE #1
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City | LEBANON
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State | PA
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Zip | 17042-7089
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Country | US
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Telephone | 717-273-5959
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Fax | 717-274-5450
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | LEBANON
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State | PA
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Zip | 17042-0116
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Country | US
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Telephone | 717-273-5959
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Fax | 717-274-5450
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE L JENKINS
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Credential | D.C.
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Telephone | 717-273-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | DC003199R
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License Number State | PA
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