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General NPI Number Information
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NPI Number | 1275703399
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Entity Type | Individual
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Provider Name | LEAH STOLBACH MPH, RD
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Gender | Female
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 12647 OLIVE BLVD SUITE 600
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6393
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Country | US
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Telephone | 800-325-3982
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 WASHINGTON BLVD 1024
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City | ARLINGTON
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State | VA
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Zip | 22201-2159
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Country | US
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Telephone | 703-801-1550
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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 |
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License Number State |
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