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General NPI Number Information
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NPI Number | 1679167183
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Entity Type | Individual
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Provider Name | JOSHUA SHIPP MS, LMT, CMT, EP-C.
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Gender | Male
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1222 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-3315
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Country | US
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Telephone | 314-706-1579
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-3315
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Country | US
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Telephone | 314-706-1579
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 77199
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 1070508
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License Number State | CA
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