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General NPI Number Information
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NPI Number | 1548106925
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Entity Type | Organization
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Legal Business Name | CHET JENKINS PC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 2903 E MAIN
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City | PUYALLUP
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State | WA
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Zip | 98372-3169
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Country | US
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Telephone | 253-845-9507
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N 44TH ST STE 600
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City | PHOENIX
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State | AZ
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Zip | 85008-7616
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Country | US
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Telephone | 480-234-8490
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Fax |
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Authorized Official
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Title or Position | VP OF TRAINING
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Name | MELODY BENNION
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Credential |
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Telephone | 480-234-8490
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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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