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General NPI Number Information
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NPI Number | 1912344094
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Entity Type | Individual
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Provider Name | HANNAH BINGHAM MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 4723 E DOUGLAS AVE
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City | WICHITA
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State | KS
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Zip | 67218-1012
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Country | US
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Telephone | 166-703-8003
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Fax | 316-789-6210
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Provider Business Mailing Address
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Address Line | 4704 E OAKLAND
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City | WICHITA
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State | KS
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Zip | 67218-1180
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Country | US
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Telephone | 316-670-3800
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Fax | 316-789-6210
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-37846
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04-37846
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License Number State | KS
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