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General NPI Number Information
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NPI Number | 1871854653
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Entity Type | Individual
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Provider Name | ANNA N BINGHAM LPC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 416 MAIN ST
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City | ARKADELPHIA
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State | AR
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Zip | 71923-6144
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Country | US
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Telephone | 870-210-6550
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Fax | 844-350-4173
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Provider Business Mailing Address
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Address Line | 806 N PARK DR
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City | ARKADELPHIA
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State | AR
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Zip | 71923-3503
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Country | US
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Telephone | 870-210-6550
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Fax | 448-350-4173
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1510120
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License Number State | AR
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