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General NPI Number Information
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NPI Number | 1952294589
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Entity Type | Individual
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Provider Name | CASSIDY ANNE CRAWFORD RD, CHI
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 320 ALPENGLOW LN
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City | LIVINGSTON
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State | MT
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Zip | 59047-8506
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Country | US
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Telephone | 406-823-6665
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 BAXTER LN APT 6
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City | BOZEMAN
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State | MT
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Zip | 59718-8061
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Country | US
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Telephone | 970-846-8424
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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 | MED-NUTR-LIC-160074
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License Number State | MT
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