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General NPI Number Information
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NPI Number | 1346910114
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Entity Type | Organization
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Legal Business Name | A NEW YOU
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 8317 OFFICE PARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6936
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Country | US
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Telephone | 478-259-3895
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Fax |
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Provider Business Mailing Address
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Address Line | 8317 OFFICE PARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6936
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Country | US
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Telephone |
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Fax | 844-221-5951
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Authorized Official
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Title or Position | OWNER
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Name | TRACY LEWIS
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Credential |
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Telephone | 478-259-3895
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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 |
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License Number State |
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