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General NPI Number Information
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NPI Number | 1184031726
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Entity Type | Organization
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Legal Business Name | JOSEPH M. BANKS
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 756 HIGHWAY 2034
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City | WHITESBURG
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State | KY
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Zip | 41858-7500
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Country | US
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Telephone | 606-634-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 104 MCCRAY LN
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City | MILLSTONE
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State | KY
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Zip | 41838-8922
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Country | US
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Telephone | 606-634-8196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH M BANKS
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Credential | APRN
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Telephone | 606-634-8196
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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 | 3206
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License Number State | KY
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