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General NPI Number Information
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NPI Number | 1013537034
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Entity Type | Organization
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Legal Business Name | LEAH MARK INTEGRATIVE NUTRITION PLLC
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 44 GREEN ST STE 2
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City | HUNTINGTON
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State | NY
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Zip | 11743-3393
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Country | US
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Telephone | 516-806-0045
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Fax | 516-861-0061
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Provider Business Mailing Address
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Address Line | 44 GREEN ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-3393
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Country | US
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Telephone | 516-200-1902
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Fax | 516-861-0061
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEAH MARK
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Credential | RD
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Telephone | 516-810-8808
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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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