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General NPI Number Information
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NPI Number | 1205453602
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Entity Type | Organization
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Legal Business Name | JBISHOP, LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 200 N VINEYARD BLVD STE A325-5146
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City | HONOLULU
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State | HI
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Zip | 96817-0681
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Country | US
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Telephone | 828-283-0620
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Fax | 808-748-0945
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Provider Business Mailing Address
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Address Line | 200 N VINEYARD BLVD STE A325-5146
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City | HONOLULU
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State | HI
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Zip | 96817-0681
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Country | US
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Telephone | 828-283-0620
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Fax | 808-748-0945
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | JENNIFER BISHOP
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Credential | MA, BCBA
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Telephone | 828-283-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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