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General NPI Number Information
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NPI Number | 1255692232
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Entity Type | Individual
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Provider Name | JAMIE BISEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2200 E PARRISH AVE SUITE 201B
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City | OWENSBORO
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State | KY
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Zip | 42303-1449
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Country | US
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Telephone | 270-926-3700
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Fax | 270-926-2114
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Provider Business Mailing Address
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Address Line | 2851 NEW HARTFORD RD STE A
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City | OWENSBORO
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State | KY
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Zip | 42303-1320
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Country | US
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Telephone | 270-240-2305
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Fax | 270-240-2252
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1845
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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