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General NPI Number Information
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NPI Number | 1417722380
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Entity Type | Individual
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Provider Name | TAMIKA LASHETTE BANKS
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Gender | Female
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 600 LINCOLN AVE UNIT 92495
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City | PASADENA
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State | CA
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Zip | 91109-5707
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Country | US
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Telephone | 626-388-2191
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 W 102ND ST
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City | INGLEWOOD
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State | CA
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Zip | 90303-1741
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Country | US
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Telephone | 323-376-1756
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | CA
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