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General NPI Number Information
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NPI Number | 1699535716
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Entity Type | Individual
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Provider Name | CATHERINE CRIMMINS
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Gender | Female
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 2501 PARKVIEW DR STE 220
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City | FORT WORTH
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State | TX
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Zip | 76102-5824
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Country | US
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Telephone | 817-864-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 6211 WINDSONG DR
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City | ARLINGTON
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State | TX
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Zip | 76001-5728
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Country | US
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Telephone | 817-247-1646
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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