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General NPI Number Information
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NPI Number | 1598621856
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Entity Type | Individual
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Provider Name | CASSIDY SHELTON JONES MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 801 7TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2733
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Country | US
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Telephone | 682-885-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 9333 LEVERET LN
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City | FORT WORTH
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State | TX
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Zip | 76131-1841
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Country | US
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Telephone |
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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 | DT92416
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License Number State | TX
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