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General NPI Number Information
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NPI Number | 1679943278
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Entity Type | Individual
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Provider Name | TAMAR LEAH JEHAN SAMUELS RDN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1935 ADDISON ST STE A
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City | BERKELEY
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State | CA
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Zip | 94704-1354
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Country | US
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Telephone | 707-646-9359
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Fax | 341-250-3106
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Provider Business Mailing Address
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Address Line | 1935 ADDISON ST STE A
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City | BERKELEY
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State | CA
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Zip | 94704-1354
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Country | US
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Telephone | 707-646-9359
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Fax | 341-250-3106
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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 | 008273
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License Number State | CA
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