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General NPI Number Information
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NPI Number | 1710787205
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Entity Type | Individual
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Provider Name | JENNA KARAJEH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1900 E MAIN ST
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City | DANVILLE
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State | IL
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Zip | 61832-5100
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Country | US
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Telephone | 217-554-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 8636 TIMBERS POINTE DR E
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City | TINLEY PARK
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State | IL
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Zip | 60487-8619
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Country | US
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Telephone | 708-612-5572
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 051305135
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051305135
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License Number State | IL
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