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General NPI Number Information
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NPI Number | 1407284649
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Entity Type | Individual
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Provider Name | JAMES BANKS JR. LGSW
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Gender | Male
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Dates
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Enumeration Date | 10/25/2013
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Last Update Date | 10/25/2013
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Provider Practice Location Address
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Address Line | 1200 CLIFTON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-5217
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Country | US
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Telephone | 202-673-7385
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Fax |
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Provider Business Mailing Address
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Address Line | 5258 CHILLUM PL NE
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City | WASHINGTON
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State | DC
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Zip | 20011-6418
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Country | US
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Telephone |
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | LG50079097
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License Number State | DC
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