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General NPI Number Information
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NPI Number | 1487544565
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Entity Type | Individual
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Provider Name | SAMANTHA MCLEOD RDN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 535 LIME CITY RD APT 11
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City | ROSSFORD
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State | OH
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Zip | 43460-1421
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Country | US
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Telephone | 419-708-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 6645 SEAMAN RD
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City | OREGON
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State | OH
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Zip | 43616-5782
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Country | US
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Telephone | 419-708-2129
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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 | 86346300
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License Number State | OH
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