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General NPI Number Information
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NPI Number | 1639475460
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Entity Type | Organization
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Legal Business Name | HYER DYNAMIC HEALTH DISCOVERIES (HY-DY INC.)
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 393 VICTORIA LN
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7501
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Country | US
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Telephone | 678-565-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 393 VICTORIA LN
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7501
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Country | US
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Telephone | 678-565-8800
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Fax |
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Authorized Official
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Title or Position | PH.D. CEO.
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Name | DR. NAIMA LEWIS
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Credential |
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Telephone | 678-565-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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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 | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State |
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