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General NPI Number Information
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NPI Number | 1679837785
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Entity Type | Organization
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Legal Business Name | G. MARK JENKINS, MD PA
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 950 SCOTLAND DR
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City | DESOTO
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State | TX
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Zip | 75115-2057
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Country | US
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Telephone | 972-352-8838
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Fax | 214-946-7445
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Provider Business Mailing Address
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Address Line | 950 SCOTLAND DR
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City | DESOTO
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State | TX
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Zip | 75115-2057
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Country | US
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Telephone | 972-352-8838
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Fax | 214-946-7445
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE M JENKINS
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Credential | MD
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Telephone | 972-352-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | K6614
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License Number State | TX
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