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Individual
RICHARD A BANKER
Active
Individual
RICHARD A BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541920762
FEDERAL TAX ID
—
Enumeration date
11/21/2006
Last updated
03/16/2010
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