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General NPI Number Information
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NPI Number | 1285498972
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Entity Type | Individual
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Provider Name | NOAH C BANKS DC, MS
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Gender | Male
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 2800 SW 14TH ST STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-3418
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Country | US
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Telephone | 405-223-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 SW 14TH ST STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-3418
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Country | US
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Telephone | 479-324-2674
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16425
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License Number State | AR
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