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General NPI Number Information
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NPI Number | 1710855390
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Entity Type | Organization
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Legal Business Name | FREEDOM INTEGRATED MEDICAL PLLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1123 E LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37804-5130
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Country | US
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Telephone | 570-867-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 E LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37804-5130
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Country | US
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Telephone | 865-233-0569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES BINGHAM
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Credential | DO
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Telephone | 865-233-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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