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General NPI Number Information
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NPI Number | 1881526846
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Entity Type | Individual
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Provider Name | JASON JENKINS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 500 N MARKET ST
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City | TROY
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State | OH
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Zip | 45373-1418
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Country | US
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Telephone | 937-332-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 15275 WELLS RD
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City | ANNA
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State | OH
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Zip | 45302-2500
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Country | US
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Telephone | 937-332-6700
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | OH
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