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General NPI Number Information
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NPI Number | 1548089345
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Entity Type | Individual
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Provider Name | SHARON DANA BANKS PHD
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Gender | Female
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 944 WASHINGTON ST
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City | SOUTH EASTON
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State | MA
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Zip | 02375-1177
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Country | US
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Telephone | 781-924-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 39 OLNEY ST APT 207
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City | TAUNTON
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State | MA
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Zip | 02780-4144
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Country | US
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Telephone | 804-363-0535
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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