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General NPI Number Information
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NPI Number | 1548231186
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Entity Type | Individual
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Provider Name | DAVID KENT BISHOP MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 875 OAK ST SE STE 5030
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City | SALEM
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State | OR
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Zip | 97301-3991
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Country | US
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Telephone | 503-814-4480
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Fax | 503-814-4482
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Provider Business Mailing Address
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Address Line | 2101 NE 139TH ST SUITE 350
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City | VANCOUVER
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State | WA
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Zip | 98686-2309
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Country | US
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Telephone | 360-256-4060
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Fax | 360-256-0103
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD00028406
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD162221
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License Number State | OR
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