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General NPI Number Information
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NPI Number | 1831299411
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Entity Type | Individual
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Provider Name | CRYSTAL L. PARDY MA CCC-SLP/A
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 2675 CENTRAL AVE
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City | BILLINGS
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State | MT
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Zip | 59102-6686
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Country | US
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Telephone | 406-238-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35100
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City | BILLINGS
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State | MT
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Zip | 59107-5100
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Country | US
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Telephone | 406-238-2500
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | SA689
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA689
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License Number State | MT
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