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General NPI Number Information
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NPI Number | 1669548558
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Entity Type | Individual
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Provider Name | SHERRY LEE BINGAMAN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 STATE HOSPITAL DR DANVILLE STATE HOSPITAL
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City | DANVILLE
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State | PA
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Zip | 17821-9103
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Country | US
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Telephone | 570-271-4536
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Fax | 570-271-4537
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Provider Business Mailing Address
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Address Line | 861 SUNBURY RD
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City | SHAMOKIN DAM
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State | PA
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Zip | 17876-8927
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Country | US
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Telephone | 570-271-4536
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Fax | 570-271-4537
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP034943R
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License Number State | PA
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