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General NPI Number Information
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NPI Number | 1689681991
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Entity Type | Individual
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Provider Name | DONNA M BINGHAM
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 7 COMMUNITY DR
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City | BUFFALO
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State | NY
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Zip | 14225-2523
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Country | US
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Telephone | 716-505-5630
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Fax | 716-892-1936
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Provider Business Mailing Address
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Address Line | 6 OVERBROOK AVE
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City | TONAWANDA
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State | NY
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Zip | 14150-8349
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Country | US
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Telephone | 716-838-0242
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R034422
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License Number State | NY
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