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General NPI Number Information
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NPI Number | 1356288898
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Entity Type | Individual
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Provider Name | ALLISON THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 5451 RED HAVEN ST
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City | BOZEMAN
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State | MT
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Zip | 59718-4503
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Country | US
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Telephone | 970-274-1379
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Fax |
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Provider Business Mailing Address
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Address Line | 5451 RED HAVEN ST
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City | BOZEMAN
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State | MT
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Zip | 59718-4503
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Country | US
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Telephone | 970-274-1379
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | MED-NUTR-LIC-70335
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License Number State | MT
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