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General NPI Number Information
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NPI Number | 1730885922
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Entity Type | Organization
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Legal Business Name | THE MINDFUL BITE LLC
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 7 LOCUST AVE
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City | GLEN HEAD
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State | NY
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Zip | 11545-1613
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Country | US
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Telephone | 516-712-9408
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Fax |
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Provider Business Mailing Address
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Address Line | 7 LOCUST AVE
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City | GLEN HEAD
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State | NY
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Zip | 11545-1613
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Country | US
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Telephone | 516-712-9408
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED DIETITIAN
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Name | MARIANNA DAYRE
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Credential | MS, RD, CDCES
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Telephone | 516-712-9408
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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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