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General NPI Number Information
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NPI Number | 1043736655
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Entity Type | Individual
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Provider Name | LINDA ELAINE BANKS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 5852 DIANNE ST
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City | SHREVEPORT
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State | LA
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Zip | 71119-5310
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Country | US
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Telephone | 469-315-1949
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Fax |
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Provider Business Mailing Address
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Address Line | 6009 FINANCIAL PLZ
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City | SHREVEPORT
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State | LA
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Zip | 71129-2615
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Country | US
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Telephone | 318-670-8858
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9523
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License Number State | LA
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