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General NPI Number Information
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NPI Number | 1548586373
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT BISHOP P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 7200B CAMBRIDGE ST SUITE E5.101
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 713-798-4734
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Fax | 713-798-5326
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Provider Business Mailing Address
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Address Line | 7200B CAMBRIDGE ST SUITE E5.101
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 713-798-4734
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Fax | 713-798-5326
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA05662
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License Number State | TX
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