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General NPI Number Information
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NPI Number | 1437615192
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Entity Type | Organization
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Legal Business Name | SADIE BINGHAM THERAPY PLLC
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 5224 OLYMPIC DR NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-1790
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Country | US
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Telephone | 253-254-5609
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 OLYMPIC DR NW STE 105
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City | GIG HARBOR
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State | WA
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Zip | 98335-1792
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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 | SOCIAL WORKER
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Name | SADIE BINGHAM
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Credential | LICSW
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Telephone | 253-254-5609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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