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General NPI Number Information
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NPI Number | 1245044692
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Entity Type | Individual
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Provider Name | MELANIE A MCNALLY C-IAYT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 5330 MILL RUN DR
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City | MARIETTA
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State | GA
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Zip | 30068-2861
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Country | US
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Telephone | 404-421-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 5330 MILL RUN DR
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City | MARIETTA
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State | GA
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Zip | 30068-2861
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Country | US
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Telephone | 404-421-5460
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 75877205
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License Number State | GA
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