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General NPI Number Information
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NPI Number | 1184160517
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Entity Type | Individual
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Provider Name | JAMINELLI L BANKS DPM
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3811 E BELL RD STE 207
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City | PHOENIX
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State | AZ
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Zip | 85032-2159
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Country | US
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Telephone | 480-863-6044
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Fax | 602-926-1299
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Provider Business Mailing Address
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Address Line | 20011 N 19TH ST
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City | PHOENIX
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State | AZ
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Zip | 85024-1230
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Country | US
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Telephone | 480-471-6132
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Fax | 480-393-1979
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD-001064
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | POD-001064
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD-001064
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5697
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | POD-001064
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License Number State | AZ
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