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General NPI Number Information
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NPI Number | 1346611076
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Entity Type | Individual
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Provider Name | GLYNIS BANKS
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Gender | Female
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 325 COMMANDANTS WAY APT. 411
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City | CHELSEA
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State | MA
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Zip | 02150-4000
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Country | US
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Telephone | 215-313-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 325 COMMANDANTS WAY APT. 411
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City | CHELSEA
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State | MA
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Zip | 02150-4000
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Country | US
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Telephone | 215-313-6570
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW131685
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 095796
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21227
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW131485
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21227
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License Number State | MD
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