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General NPI Number Information
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NPI Number | 1316831837
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Entity Type | Individual
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Provider Name | WILLIAM ROMEO BISHOP JR.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 64 KEAWE ST STE 205
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City | HILO
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State | HI
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Zip | 96720-2486
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Country | US
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Telephone | 808-464-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 69 RAILROAD AVE STE D62
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City | HILO
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State | HI
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Zip | 96720-7509
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Country | US
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Telephone | 808-746-4476
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAT17682
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License Number State | HI
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