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General NPI Number Information
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NPI Number | 1396943056
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Entity Type | Individual
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Provider Name | SHELLY MARIE BISH FNP
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Gender | Female
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 6799 OVERSEAS HWY STE 1
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City | MARATHON
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State | FL
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Zip | 33050-2787
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Country | US
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Telephone | 305-851-8903
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Fax | 305-720-2621
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Provider Business Mailing Address
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Address Line | 6799 OVERSEAS HWY STE 1
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City | MARATHON
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State | FL
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Zip | 33050-2787
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Country | US
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Telephone | 305-851-8903
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Fax | 305-720-2621
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9414891
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9414891
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License Number State | FL
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