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General NPI Number Information
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NPI Number | 1578516688
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Entity Type | Individual
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Provider Name | ANNE S BINGHAM
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 49 CRESCENT ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3601
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Country | US
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Telephone | 860-344-9993
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Fax |
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Provider Business Mailing Address
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Address Line | 73 MAPLE AVE
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City | HIGGANUM
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State | CT
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Zip | 06441-4233
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Country | US
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Telephone | 860-345-3562
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 034585
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License Number State | CT
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