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General NPI Number Information
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NPI Number | 1073442372
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Entity Type | Individual
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Provider Name | LISA A. BANKS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 3 HILLTOP LN
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City | MEDFORD
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State | NJ
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Zip | 08055-2362
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Country | US
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Telephone | 888-974-2763
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HILLTOP LN
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City | MEDFORD
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State | NJ
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Zip | 08055-2362
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Country | US
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Telephone | 888-974-2763
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 28RI03319700
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License Number State | NJ
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