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General NPI Number Information
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NPI Number | 1144976986
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Entity Type | Organization
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Legal Business Name | BISHOP HEALTH
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 1250 FOREST AVE SUITE 201
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City | PORTLAND
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State | ME
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Zip | 04103
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Country | US
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Telephone | 207-910-6580
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Fax | 207-910-6577
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Provider Business Mailing Address
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Address Line | 1250 FOREST AVE SUITE 201
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City | PORTLAND
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State | ME
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Zip | 04103
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Country | US
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Telephone | 207-910-6580
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Fax | 207-910-6577
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ANDREW COFFEY
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Credential | LPC
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Telephone | 207-910-6580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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