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General NPI Number Information
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NPI Number | 1437998515
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Entity Type | Individual
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Provider Name | ELIZABETH SHIPMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1290 S 500 W
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City | WOODS CROSS
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State | UT
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Zip | 84010-8100
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Country | US
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Telephone | 385-400-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 1076 W STONEHAVEN DR
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City | NORTH SALT LAKE
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State | UT
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Zip | 84054-5032
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Country | US
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Telephone | 385-400-9333
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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 | 13530149-3902
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 13530149-3904
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License Number State | UT
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