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General NPI Number Information
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NPI Number | 1760469282
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Entity Type | Individual
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Provider Name | ALESA MCDOWELL EANES RD,LDN
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 615 RIDGE RD
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City | ROXBORO
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State | NC
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Zip | 27573-4629
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Country | US
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Telephone | 336-503-5718
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Fax |
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Provider Business Mailing Address
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Address Line | 505 CRABTREE CREEK RD
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-7154
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Country | US
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Telephone | 919-732-2548
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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 | L002096
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License Number State | NC
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