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General NPI Number Information
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NPI Number | 1225959232
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Entity Type | Organization
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Legal Business Name | MARLEY NUTRITION AND WELLNESS, LLC.
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 1741 OCOEE APOPKA RD
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City | APOPKA
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State | FL
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Zip | 32703-9263
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Country | US
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Telephone | 301-254-6899
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 MILDRED DIXON WAY 1015 MILDRED DIXON WAY
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City | WINTER GARDEN
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State | FL
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Zip | 34787-2940
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Country | US
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Telephone | 301-254-6899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELEESHA FERRIL-MARLEY
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Credential | RDN
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Telephone | 301-254-6899
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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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