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General NPI Number Information
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NPI Number | 1518934165
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Entity Type | Individual
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Provider Name | SYLVIA C. BANK M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 5755 CEDAR LANE HOWARD COUNTY GENERAL HOSPITAL
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City | COLUMBIA
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State | MD
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Zip | 21044
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Country | US
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Telephone | 410-884-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 3883 WOODVILLE LN
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-4837
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Country | US
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Telephone | 410-480-5437
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | D0060073
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License Number State | MD
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