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General NPI Number Information
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NPI Number | 1093820466
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Entity Type | Individual
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Provider Name | BRADLEY M BISHOP PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | SELLS INDIAN HOSPITAL HWY 86
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City | SELLS
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State | AZ
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Zip | 85634
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Country | US
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Telephone | 520-383-7450
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Fax | 520-383-7265
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Provider Business Mailing Address
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Address Line | 5380 S THUNDER SKY WAY
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City | TUCSON
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State | AZ
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Zip | 85747-5827
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Country | US
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Telephone | 520-232-3228
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 12415
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License Number State | AZ
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