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General NPI Number Information
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NPI Number | 1063352813
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Entity Type | Individual
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Provider Name | DEKLYN DEAN BISHOP SUDRC 1 #24374
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 915 TWIN VIEW BLVD
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City | REDDING
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State | CA
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Zip | 96003-2046
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Country | US
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Telephone | 530-201-1410
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Fax | 530-349-8584
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Provider Business Mailing Address
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Address Line | 915 TWIN VIEW BLVD
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City | REDDING
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State | CA
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Zip | 96003-2046
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Country | US
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Telephone | 530-201-1410
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Fax | 530-349-8584
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 24374
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License Number State | CA
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