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General NPI Number Information
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NPI Number | 1427973122
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Entity Type | Individual
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Provider Name | TASHAUNDRA BOYD LMT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 5936 GILES ROAD (MOBILE PRACTICE, NO CLIENTS ONSITE)
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City | LITHONIA
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State | GA
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Zip | 30058
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Country | US
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Telephone | 470-561-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 5936 GILES RD
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City | LITHONIA
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State | GA
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Zip | 30058-8358
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Country | US
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Telephone | 470-514-8404
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT013369
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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