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General NPI Number Information
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NPI Number | 1053105916
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Entity Type | Individual
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Provider Name | JENNIFER BINGHAM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1701 N GEORGE MASON DR
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City | ARLINGTON
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State | VA
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Zip | 22205-3610
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Country | US
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Telephone | 703-558-6217
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Fax |
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Provider Business Mailing Address
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Address Line | 8209 PERIDOT DR UNIT 404
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City | MC LEAN
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State | VA
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Zip | 22102-3969
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Country | US
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Telephone |
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 202219812
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License Number State | VA
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