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General NPI Number Information
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NPI Number | 1922599638
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Entity Type | Individual
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Provider Name | EARL J BANKEN RPH
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Gender | Male
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | W3985 COUNTY ROAD NN
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City | ELKHORN
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State | WI
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Zip | 53121-4337
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Country | US
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Telephone | 262-741-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 824 BRIODY ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1099
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Country | US
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Telephone | 262-210-6573
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11859-40
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License Number State | WI
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