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General NPI Number Information
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NPI Number | 1609014406
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Entity Type | Individual
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Provider Name | KATHLEEN S JENKINS FNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 305 S LINE AVE
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City | INVERNESS
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State | FL
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Zip | 34452-4605
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Country | US
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Telephone | 352-344-4791
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Fax | 352-344-3822
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Provider Business Mailing Address
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Address Line | 16380 SE 84TH CT
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City | SUMMERFIELD
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State | FL
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Zip | 34491-7057
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Country | US
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Telephone | 352-553-4075
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Fax | 888-770-3208
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20088005525
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14978
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11002041
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License Number State | FL
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