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General NPI Number Information
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NPI Number | 1356567945
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Entity Type | Individual
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Provider Name | CAROL WHITE BISHOP MFCC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 5655 LINDERO CANYON RD STE 726
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4068
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Country | US
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Telephone | 818-515-7619
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 BAIRD AVE
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City | RESEDA
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State | CA
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Zip | 91335-4150
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Country | US
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Telephone | 818-342-5897
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 17706
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 17706
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License Number State | CA
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