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General NPI Number Information
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NPI Number | 1306969746
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Entity Type | Individual
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Provider Name | MICHAEL FLEMING CREWS M A CCC-SLP A
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 901 SW HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59803-3600
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Country | US
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Telephone | 406-240-6185
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Fax | 866-431-9397
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Provider Business Mailing Address
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Address Line | 901 SW HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59803-3600
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Country | US
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Telephone | 406-240-6185
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Fax | 866-431-9397
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 715
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License Number State | MT
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