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General NPI Number Information
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NPI Number | 1508570805
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Entity Type | Individual
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Provider Name | RONDA KELLY JENKINS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 8770 OHIO RIVER RD
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City | WHEELERSBURG
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State | OH
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Zip | 45694-1918
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Country | US
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Telephone | 740-355-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 253 OLD DAM LN
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City | GREENUP
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State | KY
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Zip | 41144-9016
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Country | US
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Telephone | 740-935-5933
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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