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General NPI Number Information
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NPI Number | 1679442461
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Entity Type | Individual
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Provider Name | ALEXIS BANKS FNP-BC, CDCES
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Gender | Female
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 3290 42ND AVE S
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City | SAINT CLOUD
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State | MN
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Zip | 56301-6251
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Country | US
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Telephone | 320-227-5000
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Fax | 320-227-5025
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Provider Business Mailing Address
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Address Line | 1549 PRAIRIE HILL RD
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4981
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Country | US
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Telephone | 320-241-2153
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 13580
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License Number State | MN
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