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General NPI Number Information
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NPI Number | 1215550512
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Entity Type | Individual
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Provider Name | JOHN JOSEPH BINGHAM M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1345 PLANTATION RD NE
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City | ROANOKE
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State | VA
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Zip | 24012-5712
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Country | US
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Telephone | 833-510-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY RD STE 400
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City | CINCINNATI
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State | OH
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Zip | 45212-2600
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Country | US
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Telephone | 833-510-4357
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 2025-03921
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 0101283178
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License Number State | VA
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