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General NPI Number Information
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NPI Number | 1952687568
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Entity Type | Individual
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Provider Name | MICHAEL BISHOP PH.D, NCC, LPC
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Gender | Male
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 4989 N 3RD ST
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City | LARAMIE
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State | WY
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Zip | 82072
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Country | US
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Telephone | 307-745-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 2970 WELSH LN
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City | LARAMIE
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State | WY
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Zip | 82070-8407
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Country | US
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Telephone | 307-745-8997
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-1313
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PPC - 449
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-1313
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PPC - 449
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License Number State | WY
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