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General NPI Number Information
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NPI Number | 1265725782
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Entity Type | Individual
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Provider Name | HANNAH M BANKS
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Gender | Female
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 1795 COLUMBUS AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1765
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Country | US
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Telephone | 740-335-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 STATE ROUTE 138 NE
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City | GREENFIELD
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State | OH
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Zip | 45123-8523
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Country | US
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Telephone | 937-981-0909
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03225289
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License Number State | OH
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