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General NPI Number Information
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NPI Number | 1548467145
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Entity Type | Individual
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Provider Name | RENEE BISHOP CNM
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 9333 GENESEE AVE SUITE 170
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City | SAN DIEGO
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State | CA
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Zip | 92037
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Country | US
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Telephone | 858-882-8350
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Fax | 858-882-8383
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Provider Business Mailing Address
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Address Line | 5410 LA JOLLA BLVD A306
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City | LA JOLLA
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State | CA
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Zip | 92037
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Country | US
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Telephone | 404-849-7953
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Fax | 858-882-8383
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | RN148099
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1896
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License Number State | CA
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