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General NPI Number Information
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NPI Number | 1528643673
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Entity Type | Individual
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Provider Name | LESLIE MARIE EDWARDS RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 791 E MCMILLAN ST STE 103A
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City | CINCINNATI
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State | OH
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Zip | 45206-1938
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Country | US
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Telephone | 513-995-6790
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | AMELIA
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State | OH
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Zip | 45102-0281
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Country | US
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Telephone | 520-971-3242
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | LD.09365
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | LD.09365
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License Number State | OH
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