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General NPI Number Information
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NPI Number | 1073929469
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Entity Type | Individual
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Provider Name | AMY CAGNOLATTI BISHOP AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 1730 W RANDOL MILL 190
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City | ARLINGTON
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State | TX
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Zip | 76012-3057
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Country | US
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Telephone | 817-265-1466
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Fax | 817-459-0754
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Provider Business Mailing Address
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Address Line | 215 SHUMAN BLVD STE 401
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City | NAPERVILLE
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State | IL
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Zip | 60563-8458
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Country | US
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Telephone | 630-303-5380
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Fax | 978-313-6824
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80610
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License Number State | TX
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