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General NPI Number Information
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NPI Number | 1508924226
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Entity Type | Individual
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Provider Name | PAULA BISHOP PT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1321 N PALM AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3345
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Country | US
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Telephone | 954-392-7392
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Fax | 954-392-7886
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Provider Business Mailing Address
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Address Line | 4941 WHITE MANGROVE WAY W
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-4905
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Country | US
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Telephone | 954-873-6470
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18945
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License Number State | FL
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