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General NPI Number Information
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NPI Number | 1932599289
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Entity Type | Individual
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Provider Name | ALISSA DIANE BISHEL M.D, M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 2900 12TH AVE N STE 205W
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City | BILLINGS
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State | MT
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Zip | 59101-7520
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Country | US
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Telephone | 406-254-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 620 JOHN PAUL JONES CIRCLE
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City | FPO
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State | AA
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Zip | 23708
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Country | US
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Telephone | 757-953-0669
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MED-PHYS-LIC-144633
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License Number State | MT
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