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General NPI Number Information
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NPI Number | 1396046074
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Entity Type | Individual
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Provider Name | JOSIE BISHOP PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 220 S SERVICE RD STE 16
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2131
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Country | US
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Telephone | 917-359-5162
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Fax |
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Provider Business Mailing Address
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Address Line | 64 BOGART AVE
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3320
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Country | US
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Telephone | 917-359-5162
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 018650-1
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License Number State | NY
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