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General NPI Number Information
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NPI Number | 1356209738
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Entity Type | Individual
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Provider Name | JUSTIN JENKINS DC
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Gender | Male
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 2680 COBB PKWY NW STE C
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City | KENNESAW
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State | GA
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Zip | 30152-3470
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Country | US
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Telephone | 770-343-4128
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Fax |
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Provider Business Mailing Address
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Address Line | 201 HOSPITAL RD UNIT 4014
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City | CANTON
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State | GA
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Zip | 30114-2642
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Country | US
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Telephone |
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR066622
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License Number State | GA
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