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General NPI Number Information
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NPI Number | 1255785481
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Entity Type | Individual
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Provider Name | JENNIFER ANN BANEK N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2265 W INA RD
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City | TUCSON
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State | AZ
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Zip | 85741-2650
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Country | US
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Telephone | 520-702-3637
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Fax | 855-576-4111
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 615-706-8357
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Fax | 615-523-1910
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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 | AP8612
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License Number State | AZ
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