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General NPI Number Information
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NPI Number | 1801748710
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Entity Type | Individual
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Provider Name | STEVEN BINGHAM
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Gender | Male
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1908 JENNIE LEE DR
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City | IDAHO FALLS
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State | ID
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Zip | 83404-6159
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Country | US
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Telephone | 208-520-7074
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Fax |
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Provider Business Mailing Address
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Address Line | 375 N 3700 E
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City | RIGBY
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State | ID
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Zip | 83442-5455
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Country | US
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Telephone | 208-932-6000
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | ID
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