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General NPI Number Information
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NPI Number | 1376011395
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Entity Type | Individual
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Provider Name | ANDREW GREGORY BISHOP DPT
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Gender | Male
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 5 CARE LN
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-8623
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Country | US
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Telephone | 518-587-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 389 BROWNELL RD
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City | BALLSTON SPA
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State | NY
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Zip | 12020-3742
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 043731
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License Number State | NY
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