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Individual
DR. JITENDRA A JAIN
Active
Individual
DR. JITENDRA A JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21602
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962215
—
AL
01
—
51522575
BCBS OF ALABAMA
AL
Enumeration date
11/21/2005
Last updated
02/07/2011
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