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General NPI Number Information
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NPI Number | 1518942879
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Entity Type | Individual
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Provider Name | DONALD W JENKINS MD
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1255 BROAD ST
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City | CLIFTON
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State | NJ
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Zip | 07013-3398
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Country | US
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Telephone | 973-685-5915
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone |
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Fax | 407-425-5203
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 036169063
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME56738
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA11272200
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License Number State | NJ
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