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General NPI Number Information
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NPI Number | 1881265239
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Entity Type | Individual
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Provider Name | BRITTANY ELAINE BANKS LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 41100 FOX RUN
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City | NOVI
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State | MI
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Zip | 48377-4804
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Country | US
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Telephone | 248-668-8650
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Fax | 248-668-8651
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Provider Business Mailing Address
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Address Line | 5730 EXECUTIVE DR STE 230
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City | CATONSVILLE
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State | MD
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Zip | 21228-1762
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Country | US
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Telephone | 248-668-8650
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801109255
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License Number State | MI
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