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General NPI Number Information
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NPI Number | 1912680026
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Entity Type | Individual
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Provider Name | IESHEA MCLEOD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 3015 TIMBER HOLLOW DR APT 212
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City | CHARLOTTE
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State | NC
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Zip | 28205-6690
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Country | US
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Telephone | 813-699-9057
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N MCDOWELL ST UNIT 30661
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City | CHARLOTTE
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State | NC
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Zip | 28230-0059
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Country | US
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Telephone | 813-699-9057
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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