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General NPI Number Information
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NPI Number | 1689695413
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Entity Type | Individual
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Provider Name | EDWARD JAMES BANAS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 2113 GOVERNMENT ST GOVERNMENT PLACE SUITE K-1
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3954
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Country | US
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Telephone | 228-826-3811
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Fax | 228-826-3813
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Provider Business Mailing Address
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Address Line | 2113 GOVERNMENT ST GOVERNMENT PLACE SUITE K-1
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3954
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Country | US
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Telephone | 228-826-3811
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Fax | 228-826-3813
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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 | DD2726
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License Number State | NM
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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 | DN013268
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 036708
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 305998
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License Number State | MS
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