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General NPI Number Information
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NPI Number | 1194631390
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Entity Type | Organization
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Legal Business Name | BYNUM DEVELOPMENTAL PATHWAYS, LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 2405 KAUFFMAN CT E
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City | WILSON
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State | NC
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Zip | 27893-8959
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Country | US
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Telephone | 252-991-9019
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Fax | 252-991-9019
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Provider Business Mailing Address
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Address Line | 2405 KAUFFMAN CT E
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City | WILSON
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State | NC
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Zip | 27893-8959
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Country | US
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Telephone | 252-991-9019
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Fax | 252-991-9019
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Authorized Official
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Title or Position | CEO/OWNER
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Name | CRYSTAL NICOLE BYNUM
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Credential |
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Telephone | 252-991-9019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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