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General NPI Number Information
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NPI Number | 1992861538
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Entity Type | Individual
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Provider Name | LINDA BRADLEY BANKS LVN
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2525 BARRY ROSE ROAD #401
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City | PEARLAND
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State | TX
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Zip | 77581
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Country | US
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Telephone | 281-997-3581
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Fax |
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Provider Business Mailing Address
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Address Line | 270 EL DORADO BLVD #908
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City | WEBSTER
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State | TX
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Zip | 77598
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Country | US
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Telephone | 281-990-8720
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 72837
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License Number State | TX
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