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General NPI Number Information
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NPI Number | 1659255529
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Entity Type | Individual
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Provider Name | MICHAEL PETER BISHAY DDS
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4630 E PACIFIC COAST HWY UNIT 3
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City | LONG BEACH
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State | CA
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Zip | 90804-3229
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Country | US
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Telephone | 562-366-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 805 W LA VETA AVE STE 210
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City | ORANGE
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State | CA
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Zip | 92868-3929
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 112187
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License Number State | CA
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