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General NPI Number Information
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NPI Number | 1669490363
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Entity Type | Individual
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Provider Name | BARBARA DULANEY BISHOP ED D LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6000A SAWGRASS VILLAGE CIRCLE SUITE 12
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082
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Country | US
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Telephone | 904-280-0448
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Fax | 904-273-7430
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Provider Business Mailing Address
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Address Line | 6000A SAWGRASS VILLAGE CIRCLE SUITE 12
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082
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Country | US
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Telephone | 904-280-0448
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Fax | 904-273-7430
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH1901
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License Number State | FL
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