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General NPI Number Information
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NPI Number | 1255045134
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Entity Type | Organization
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Legal Business Name | MICHAEL H. BISHOP DO A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 27110 BIG HORN MOUNTAIN WAY
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City | YORBA LINDA
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State | CA
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Zip | 92887-4224
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Country | US
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Telephone | 619-258-6200
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Fax | 619-258-0028
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Provider Business Mailing Address
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Address Line | 5753 E SANTA ANA CANYON RD STE G310
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City | ANAHEIM
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State | CA
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Zip | 92807-3230
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Country | US
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Telephone | 619-258-6200
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Fax | 619-258-0028
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL H BISHOP
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Credential | DO
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Telephone | 714-273-5687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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