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General NPI Number Information
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NPI Number | 1669782066
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Entity Type | Individual
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Provider Name | RISHARD MEKEL BANKS DDS
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Gender | Male
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | SNYDER DENTAL CLINIC BLDG 25501 BRAINARD AVE
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-787-4466
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Fax |
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Provider Business Mailing Address
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Address Line | BLDG 25501 BRAINARD AVE
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City | AUGUSTA
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-787-4466
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D6133
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE61389604
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE61389604
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14714
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License Number State | MD
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