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General NPI Number Information
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NPI Number | 1710573258
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Entity Type | Individual
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Provider Name | PORSHA JENKINS
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Gender | Female
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 2620 ELM HILL PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3100
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Country | US
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Telephone | 615-871-2575
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Fax |
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Provider Business Mailing Address
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Address Line | 5188 RYAN ALLEN CIR
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City | WHITES CREEK
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State | TN
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Zip | 37189-5202
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44499
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 44499
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License Number State | TN
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