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General NPI Number Information
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NPI Number | 1760745293
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Entity Type | Individual
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Provider Name | CHARLOTTE POE BINGHAM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 521 N US HIGHWAY 69 STE C
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City | HUNTINGTON
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State | TX
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Zip | 75949-8961
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Country | US
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Telephone | 936-243-3486
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Fax | 936-419-0202
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Provider Business Mailing Address
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Address Line | 133 HARE RD UNIT 2185
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City | CROSBY
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State | TX
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Zip | 77532
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Country | US
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Telephone | 281-731-1945
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Fax | 281-476-6457
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 666308
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License Number State | TX
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