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General NPI Number Information
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NPI Number | 1811479165
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Entity Type | Individual
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Provider Name | NICOLE INGEBRETSEN BISHOP FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 15555 KUYKENDAHL RD
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City | HOUSTON
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State | TX
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Zip | 77090-3651
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Country | US
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Telephone | 713-462-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 5903 DORSEY DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-2322
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Country | US
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Telephone | 832-335-5370
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 849248
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP136534
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License Number State | TX
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