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General NPI Number Information
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NPI Number | 1861499816
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Entity Type | Individual
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Provider Name | JAMES EDWARD JENKINS MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 3300 WEST MONTAGUE AVE SUITE 203
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City | N. CHARLESTON
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State | SC
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Zip | 29418
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Country | US
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Telephone | 843-740-6999
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Fax | 843-740-5433
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Provider Business Mailing Address
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Address Line | 3300 WEST MONTAGUE AVE SUITE 203
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City | N. CHARLESTON
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State | SC
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Zip | 29418
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Country | US
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Telephone | 843-740-6999
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Fax | 843-740-5433
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 9864
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License Number State | SC
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