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General NPI Number Information
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NPI Number | 1245267061
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Entity Type | Individual
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Provider Name | JOHN K JENKINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 09/27/2017
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Provider Practice Location Address
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Address Line | 708 BROADWATER AVE
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City | BILLINGS
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State | MT
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Zip | 59101-2710
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Country | US
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Telephone | 406-839-2900
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Fax | 406-839-2910
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Provider Business Mailing Address
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Address Line | 708 BROADWATER AVE
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City | BILLINGS
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State | MT
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Zip | 59101-2710
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Country | US
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Telephone | 406-839-2900
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Fax | 406-839-2910
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 14472
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 12652
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License Number State | MT
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