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General NPI Number Information
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NPI Number | 1740556919
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Entity Type | Individual
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Provider Name | PATRICIA JO BISHOP LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/31/2012
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 200 PROSPERITY DR STE 220
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City | KNOXVILLE
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State | TN
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Zip | 37923-4718
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Country | US
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Telephone | 480-313-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 10933 ANCHORAGE CIR
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City | FARRAGUT
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State | TN
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Zip | 37934-3908
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Country | US
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Telephone | 865-203-5091
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-13022
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW0000009002
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License Number State | TN
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