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General NPI Number Information
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NPI Number | 1699033548
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Entity Type | Individual
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Provider Name | LORI BISHOP APNP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2012
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 4260 PLYMOUTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48109-2700
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Country | US
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Telephone | 734-764-6831
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Fax | 734-647-8535
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Provider Business Mailing Address
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Address Line | 47030 VICTORIAN SQ N
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City | CANTON
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State | MI
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Zip | 48188-6314
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704184988
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71013937A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 4704184988
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704184988
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License Number State | MI
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