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General NPI Number Information
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NPI Number | 1699193219
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Entity Type | Individual
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Provider Name | TYRRELL ROBERT JENKINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 333 POST RD W LOWR LEVEL
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City | WESTPORT
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State | CT
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Zip | 06880-4754
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Country | US
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Telephone | 203-571-3000
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Fax | 205-349-8179
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Provider Business Mailing Address
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Address Line | 333 POST RD W LOWR LEVEL
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City | WESTPORT
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State | CT
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Zip | 06880-4754
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Country | US
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Telephone | 203-571-3000
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Fax | 205-349-8179
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 82771
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D83164
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License Number State | MD
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