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General NPI Number Information
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NPI Number | 1538385232
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Entity Type | Individual
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Provider Name | PEGGY A CRUM R.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 138 SERVICE RD STE A110
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City | EAST LANSING
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State | MI
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Zip | 48824
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Country | US
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Telephone | 517-353-3003
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Fax | 517-353-5514
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Provider Business Mailing Address
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Address Line | D128 W FEE HALL
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City | EAST LANSING
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State | MI
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Zip | 48824-1315
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Country | US
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Telephone | 517-355-3503
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Fax | 517-432-1167
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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 |
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License Number State |
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