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General NPI Number Information
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NPI Number | 1578490686
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Entity Type | Individual
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Provider Name | MACY MARIE POTTS RDN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 11306 CLUB HOUSE RD # 11306
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City | PRESTO
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State | PA
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Zip | 15142-1567
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Country | US
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Telephone | 234-855-7762
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Fax |
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Provider Business Mailing Address
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Address Line | 683 CATHY ANN DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-6570
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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 |
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License Number State |
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