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General NPI Number Information
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NPI Number | 1548836687
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Entity Type | Individual
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Provider Name | LYDIA BANKS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2021
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 300 20TH AVE N STE G1
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City | NASHVILLE
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State | TN
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Zip | 37203-2132
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Country | US
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Telephone | 615-941-8550
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Fax | 615-941-8507
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Provider Business Mailing Address
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Address Line | 3024 BUSINESS PARK CIR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-3132
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Country | US
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Telephone | 615-239-2018
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Fax | 615-851-2018
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 31999
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95017984
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95056313
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License Number State | CA
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