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General NPI Number Information
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NPI Number | 1861576712
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL BISHOP PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2708 W OXFORD LOOP STE 115
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City | OXFORD
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State | MS
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Zip | 38655-5724
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Country | US
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Telephone | 662-259-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 308 SORANO CV
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City | OXFORD
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State | MS
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Zip | 38655-9264
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Country | US
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Telephone | 601-278-6789
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0947
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 651227
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License Number State | MS
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