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General NPI Number Information
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NPI Number | 1902377641
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Entity Type | Individual
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Provider Name | DAVID ALLEN BINGHAM JR. LMHC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1530 CELEBRATION BLVD STE 405
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City | CELEBRATION
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State | FL
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Zip | 34747-5165
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Country | US
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Telephone | 833-769-3524
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Fax | 321-233-9959
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Provider Business Mailing Address
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Address Line | 1530 CELEBRATION BLVD STE 405
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City | CELEBRATION
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State | FL
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Zip | 34747-5165
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Country | US
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Telephone | 833-769-3524
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH23984
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC11533
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0118746
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License Number State | VT
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