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General NPI Number Information
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NPI Number | 1134595416
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Entity Type | Individual
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Provider Name | REWA A BANKS CNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2895 HARDING HWY STE C
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City | LIMA
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State | OH
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Zip | 45804
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Country | US
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Telephone | 419-222-9828
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Fax | 567-289-5037
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Provider Business Mailing Address
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Address Line | 6647 BARBERRY LN APT A
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-1230
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Country | US
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Telephone | 419-234-2590
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP19414
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP019414
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License Number State | OH
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