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General NPI Number Information
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NPI Number | 1154274405
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Entity Type | Individual
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Provider Name | TELA JOY BRYANT LMT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 3000 OLD ALABAMA RD STE 115
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City | JOHNS CREEK
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State | GA
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Zip | 30022-8543
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Country | US
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Telephone | 678-837-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 1232 BROOK COURT AVE
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City | ATLANTA
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State | GA
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Zip | 30340-3866
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Country | US
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Telephone | 412-728-1078
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT012187
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License Number State | GA
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