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General NPI Number Information
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NPI Number | 1710188990
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Entity Type | Individual
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Provider Name | EMILY O JENKINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 808 S JAMES M CAMPBELL BLVD STE A
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City | COLUMBIA
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State | TN
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Zip | 38401-4338
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Country | US
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Telephone | 931-381-3872
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Fax |
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Provider Business Mailing Address
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Address Line | 2004 HAYES ST STE 800
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City | NASHVILLE
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State | TN
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Zip | 37203-2659
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Country | US
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Telephone | 615-329-0570
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Fax | 615-329-0579
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101253917
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2010-01672
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 71533
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License Number State | TN
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