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General NPI Number Information
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NPI Number | 1720266331
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Entity Type | Organization
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Legal Business Name | ANDREW R. BISHOP, MD, PC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 1000 COWLES CLINC WAY
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City | GREENSBORO
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State | GA
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Zip | 30642-5285
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Country | US
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Telephone | 706-454-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 COWLES CLINC WAY
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City | GREENSBORO
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State | GA
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Zip | 30642-5285
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Country | US
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Telephone | 706-454-0111
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ANDREW BISHOP
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Credential | MD
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Telephone | 404-352-8156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 029142
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License Number State | GA
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