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General NPI Number Information
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NPI Number | 1316701014
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Entity Type | Organization
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Legal Business Name | JBANKS MEDICAL INC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 16870 W BERNARDO DR STE 202
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City | SAN DIEGO
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State | CA
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Zip | 92127-1671
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Country | US
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Telephone | 760-875-2626
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Fax |
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Provider Business Mailing 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 |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JAMINELLI BANKS
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Credential | DPM
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Telephone | 214-713-9612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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