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General NPI Number Information
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NPI Number | 1063136893
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Entity Type | Organization
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Legal Business Name | BA BISHOP PRODUCT AND SERVICES, LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 8800 US HIGHWAY 380 STE 800
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City | CROSSROADS
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State | TX
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Zip | 76227-2516
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Country | US
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Telephone | 940-440-1211
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Fax | 940-440-1212
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Provider Business Mailing Address
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Address Line | 8800 US HIGHWAY 380 STE 800
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City | CROSSROADS
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State | TX
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Zip | 76227-2516
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Country | US
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Telephone | 940-440-1211
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Fax | 940-440-1212
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN ANDREW BISHOP
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Credential | DC, RRT
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Telephone | 469-684-1821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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