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General NPI Number Information
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NPI Number | 1952589178
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Entity Type | Individual
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Provider Name | ANN MARIE BISHOP P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 311 S CAMPBELL ST
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City | BURGAW
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State | NC
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Zip | 28425-5011
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Country | US
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Telephone | 910-300-6424
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Fax | 910-300-6425
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Provider Business Mailing Address
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Address Line | 1900 WEBSTER RD
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-1034
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Country | US
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Telephone | 304-872-6353
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 864
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13661
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License Number State | NC
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