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General NPI Number Information
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NPI Number | 1376103069
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Entity Type | Organization
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Legal Business Name | DYAD CARE, LLC
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Dates
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Enumeration Date | 06/16/2019
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE B1804
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City | CUMMING
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State | GA
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Zip | 30040-8217
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Country | US
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Telephone | 229-360-6676
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Fax | 470-600-0925
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Provider Business Mailing Address
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Address Line | 327 DAHLONEGA ST STE B1804
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City | CUMMING
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State | GA
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Zip | 30040-8217
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Country | US
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Telephone | 229-360-6676
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Fax | 470-600-0925
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Authorized Official
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Title or Position | OWNER/ALLIED HEALTH PROFESSIONAL
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Name | MCKALE ASHLEY FLEMING
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Credential | BA, IBCLC, LMT
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Telephone | 229-360-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | 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 | 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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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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