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General NPI Number Information
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NPI Number | 1710455951
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Entity Type | Individual
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Provider Name | JEMEELA JENKINS
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Gender | Female
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2240 W ARMITAGE AVE
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City | CHICAGO
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State | IL
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Zip | 60647-4461
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Country | US
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Telephone | 312-414-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 N MILWAUKEE AVE APT 1008
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City | CHICAGO
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State | IL
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Zip | 60642-4040
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Country | US
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Telephone | 312-684-0797
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-80385
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License Number State | IL
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