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General NPI Number Information
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NPI Number | 1265229181
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Entity Type | Organization
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Legal Business Name | ELEONORA JENKINS DMD, LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2636 TOBACCO RD
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City | HEPHZIBAH
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State | GA
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Zip | 30815-9014
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Country | US
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Telephone | 706-771-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BURTON HILLS BLVD STE 400
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City | NASHVILLE
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State | TN
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Zip | 37215-3004
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Country | US
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Telephone | 912-270-0920
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | HILLARY HARRIS
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Credential |
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Telephone | 912-270-0920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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