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General NPI Number Information
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NPI Number | 1801938238
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Entity Type | Individual
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Provider Name | KELLI JEAN BANKARD PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVENUE DEPARTMENT OF PHARMACY
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City | BETHESDA
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State | MD
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Zip | 20889-5600
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Country | US
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Telephone | 301-295-2121
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Fax |
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Provider Business Mailing Address
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Address Line | WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVENUE
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City | BETHESDA
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State | MD
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Zip | 20889-5600
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Country | US
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Telephone | 301-295-2121
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 58879
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 17645
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License Number State | MD
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