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General NPI Number Information
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NPI Number | 1518199082
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Entity Type | Individual
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Provider Name | MRS. CARA JAY MARIE JENKINS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 62 COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806-1115
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Country | US
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Telephone | 321-527-7424
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Fax | 321-843-2196
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Provider Business Mailing Address
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Address Line | 14224 SUNRIDGE BLVD
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City | WINTER GARDEN
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State | FL
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Zip | 34787-0014
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Country | US
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Telephone | 954-806-1502
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA86
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License Number State | FL
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