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General NPI Number Information
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NPI Number | 1225988728
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Entity Type | Individual
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Provider Name | LAKEISHA LEIGH MARSHALL
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1100 PEACHTREE ST NE STE 250
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City | ATLANTA
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State | GA
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Zip | 30309-4522
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Country | US
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Telephone | 470-952-5008
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Fax | 404-506-9182
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Provider Business Mailing Address
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Address Line | 3343 PEACHTREE RD NE SUITE 145 PMB 1329
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City | ATLANTA
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State | GA
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Zip | 30326-1427
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Country | US
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Telephone | 470-940-2003
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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