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General NPI Number Information
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NPI Number | 1265997738
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Entity Type | Individual
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Provider Name | MEGAN MARY BISHOP NP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1550 E WASHINGTON ST STE 101
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City | COLTON
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State | CA
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Zip | 92324-4624
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Country | US
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Telephone | 800-321-1593
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Fax |
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Provider Business Mailing Address
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Address Line | 1499 ALLENDALE DR
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City | RIVERSIDE
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State | CA
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Zip | 92507-8472
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Country | US
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Telephone | 404-345-7235
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN232005
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN232005
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License Number State | GA
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