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General NPI Number Information
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NPI Number | 1265317879
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Entity Type | Individual
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Provider Name | OLINA BISHOP CPPS
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1500 W OLYMPIC BLVD # 400
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City | LOS ANGELES
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State | CA
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Zip | 90015-3805
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Country | US
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Telephone | 323-926-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 12121 W OLYMPIC BLVD APT 5113
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City | LOS ANGELES
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State | CA
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Zip | 90064-1257
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Country | US
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Telephone | 310-908-0033
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-EFJSMU
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License Number State | CA
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