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General NPI Number Information
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NPI Number | 1861318891
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Entity Type | Individual
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Provider Name | JOSHUA DAVID GIBSON
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Gender | Male
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 8225 W 20TH ST # 80634
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City | GREELEY
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State | CO
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Zip | 80634-3037
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Country | US
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Telephone | 970-978-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 CREEKWOOD CT
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City | WINDSOR
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State | CO
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Zip | 80550-5906
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Country | US
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Telephone | 970-978-5471
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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 | 0027860
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License Number State | CO
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