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NPI 1528570181

NPI 1528570181 : LEAH DUNCAN RD : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1528570181
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH DUNCAN RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2017
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    909 FULTON ST SE 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55455-4800
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    Country              |    US
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    Telephone            |    612-336-2727
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3405 DOWNERS DR NE 
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    City                 |    SAINT ANTHONY
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    State                |    MN
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    Zip                  |    55418-1744
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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    |    
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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       |    3909
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    License Number State |    MN
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