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General NPI Number Information
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NPI Number | 1942714498
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Entity Type | Organization
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Legal Business Name | LL BANKS, LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1200 SPRINGFIELD DR
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City | CHICO
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State | CA
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Zip | 95928-6340
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Country | US
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Telephone | 530-342-4885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12396
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City | BAKERSFIELD
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State | CA
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Zip | 93389-2396
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Country | US
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Telephone | 562-505-5978
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | LISA BANKS
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Credential | DPM
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Telephone | 562-505-5978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4808
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | E4808
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License Number State | CA
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