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General NPI Number Information
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NPI Number | 1245444009
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER L. JENKINS, M.D., L.L.C.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 06/15/2013
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Provider Practice Location Address
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Address Line | 576 AZALEA RD SUITE 105
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City | MOBILE
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State | AL
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Zip | 36609-1516
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Country | US
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Telephone | 251-665-5360
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Fax | 251-665-5361
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Provider Business Mailing Address
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Address Line | 576 AZALEA RD SUITE 105
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City | MOBILE
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State | AL
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Zip | 36609-1516
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Country | US
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Telephone | 251-665-5360
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Fax | 251-665-5361
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER LACY JENKINS
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Credential | MD
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Telephone | 251-650-5360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21736
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License Number State | AL
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