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General NPI Number Information
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NPI Number | 1932018959
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Entity Type | Individual
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Provider Name | MICHAEL SHIPMAN
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Gender | Male
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 639 S SILVER SPRINGS RD
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-7539
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Country | US
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Telephone | 573-708-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 208 FRASER RDG
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City | JACKSON
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State | MO
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Zip | 63755-4142
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Country | US
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Telephone | 573-708-5093
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Fax | 573-708-5094
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2006024049
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License Number State | MO
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