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General NPI Number Information
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NPI Number | 1891412615
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Entity Type | Individual
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Provider Name | RASHIDA S JENKINS NP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 45 DIMOCK ST
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City | ROXBURY
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State | MA
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Zip | 02119-1208
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Country | US
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Telephone | 617-442-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 11 NORTON GLEN RD APT 64
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City | NORTON
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State | MA
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Zip | 02766-2540
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Country | US
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Telephone | 857-654-4201
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2328431
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License Number State | MA
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