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General NPI Number Information
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NPI Number | 1528824844
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Entity Type | Organization
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Legal Business Name | LEFLO FITNESS LLC
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 105 PINE DR
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6632
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Country | US
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Telephone | 914-621-2074
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Fax | 845-395-0299
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Provider Business Mailing Address
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Address Line | 105 PINE DR
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6632
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Country | US
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Telephone | 914-621-2074
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Fax | 845-395-0299
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. HARRIET JACOBSTER
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Credential | AUD, CMT, CHC
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Telephone | 914-621-2074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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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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