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General NPI Number Information
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NPI Number | 1003744699
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Entity Type | Individual
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Provider Name | JESSICA L BISHOP LAC
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 159 MAPLE ST
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City | VALPARAISO
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State | IN
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Zip | 46383-4723
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Country | US
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Telephone | 260-343-1755
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N WABASH AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60602-1903
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Country | US
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Telephone | 312-463-9765
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 84000245A
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License Number State | IN
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