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General NPI Number Information
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NPI Number | 1881521615
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Entity Type | Organization
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Legal Business Name | CHERRY CREEK AESTHETICS, LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 433 1ST AVE S
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City | GLASGOW
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State | MT
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Zip | 59230-2310
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Country | US
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Telephone | 406-263-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 271 CUT ACROSS RD
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City | GLASGOW
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State | MT
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Zip | 59230-2806
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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 | OWNER, AESTHETIC NURSE PRACTITIONER
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Name | MRS. KARA MEGHAN KNODEL
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Credential | FNP-C
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Telephone | 406-263-8552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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