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General NPI Number Information
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NPI Number | 1295922961
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Entity Type | Organization
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Legal Business Name | TERRY M. BINGHAM, MD, PC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 2415 N GATEWAY AVE SUITE A
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City | HARRIMAN
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State | TN
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Zip | 37748-8609
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Country | US
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Telephone | 865-882-2442
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Fax | 865-882-0251
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Provider Business Mailing Address
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Address Line | 1855 TANNER WAY SUITE 220
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City | HARRIMAN
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State | TN
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Zip | 37748-8302
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Country | US
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Telephone | 865-882-2442
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Fax | 865-882-0251
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Authorized Official
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Title or Position | OWNER
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Name | TERRY M BINGHAM
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Credential | M.D.
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Telephone | 865-882-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD0000010262
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License Number State | TN
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