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General NPI Number Information
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NPI Number | 1801979778
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Entity Type | Individual
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Provider Name | MR. ROBERT CLYDE BISHOP JR.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 17 SARDIS RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-8536
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Country | US
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Telephone | 828-665-0603
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Fax |
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Provider Business Mailing Address
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Address Line | 115 BROOKS COVE RD
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City | CANDLER
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State | NC
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Zip | 28715-9485
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Country | US
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Telephone | 828-665-0603
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 1198
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License Number State | NC
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