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General NPI Number Information
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NPI Number | 1770694457
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Entity Type | Organization
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Legal Business Name | BARBARA DULANEY BISHOP, ED.D, LMHC, P.A.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 1248 DEER CREEK WAY
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City | PONTE VEDRA
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State | FL
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Zip | 32082-2514
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Country | US
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Telephone | 904-421-2119
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Fax |
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Provider Business Mailing Address
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Address Line | 1248 DEER CREEK WAY
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City | PONTE VEDRA
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State | FL
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Zip | 32082-2514
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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 | PS
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Name | BARBARA D BISHOP
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Credential | LMHC
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Telephone | 904-421-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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