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General NPI Number Information
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NPI Number | 1477362069
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Entity Type | Individual
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Provider Name | HAYLEY ANN BINGHAM PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 5847 188TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-2201
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Country | US
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Telephone | 718-357-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 68 SHADE TREE LN
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City | RIVERHEAD
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State | NY
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Zip | 11901-5009
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Country | US
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Telephone | 631-506-9149
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NY
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