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General NPI Number Information
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NPI Number | 1831438878
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Entity Type | Individual
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Provider Name | ROBERT ALLEN BISHOP FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 6719 GOV G. C. PEERY HWY SUITE 1800
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City | RICHLANDS
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State | VA
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Zip | 24641
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Country | US
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Telephone | 276-596-6659
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Fax |
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Provider Business Mailing Address
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Address Line | 6719 GOV. G. C. PERRY HWY, SUITE 1800
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City | RICHLANDS
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State | VA
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Zip | 24641-1102
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Country | US
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Telephone | 276-596-6659
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Fax | 276-596-6658
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024170607
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License Number State | VA
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