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General NPI Number Information
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NPI Number | 1750794012
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Entity Type | Individual
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Provider Name | RACHAEL R MCCLELLAN RDN
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1350 SCENIC HWY N STE 266
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City | SNELLVILLE
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State | GA
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Zip | 30078-7924
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Country | US
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Telephone | 224-829-7522
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 JAMES WALTER DR
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City | LOGANVILLE
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State | GA
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Zip | 30052-7232
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Country | US
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Telephone | 224-829-7522
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 86028218
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 86028218
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86028218
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License Number State | MI
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