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General NPI Number Information
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NPI Number | 1932617834
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Entity Type | Individual
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Provider Name | AMY MARIE BISHOP MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/14/2018
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 313 N TEJON ST STE 7
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1251
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Country | US
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Telephone | 719-822-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 729 N 31ST ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-2020
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Country | US
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Telephone | 502-572-7930
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001696
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License Number State | CO
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