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NPI Code Detail

MEDICARE: NATHALIE CRAWFORD R.D.

MEDICARE: NATHALIE CRAWFORD R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1026243CO

General Provider Information

NPI Number : 1760700728
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIE CRAWFORD R.D.
Provider Business Mailing Address
First Line : 3625 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5205
Country : US
Telephone Number : 719-570-4006
Fax Number :
Provider Business Practice Location Address
First Line : 3625 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5205
Country : US
Telephone Number : 719-570-4006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2010
Last Update Date : 05/13/2010

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