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General NPI Number Information
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NPI Number | 1235167396
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Entity Type | Individual
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Provider Name | JANIS JENKINS AU.D., CCC-A, FAAA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 126 MAIN ST
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City | PRINCETON
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State | NJ
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Zip | 08540-5733
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Country | US
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Telephone | 609-520-0093
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Fax | 609-520-0562
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Provider Business Mailing Address
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Address Line | 158 ORLANDO DR
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City | RARITAN
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State | NJ
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Zip | 08869-2124
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Country | US
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Telephone | 908-575-7800
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Fax | 908-575-7619
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 25MG00077200
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License Number State | NJ
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