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General NPI Number Information
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NPI Number | 1104774884
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Entity Type | Organization
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Legal Business Name | FUSION HEALTH AND WELLNESS
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 1070 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5012
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Country | US
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Telephone | 678-458-4299
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Fax | 470-878-1259
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Provider Business Mailing Address
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Address Line | 1070 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5012
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Country | US
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Telephone | 678-458-4299
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Fax | 470-878-1259
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YUDELKY TEREZA BENTLEY
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Credential | NP-C
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Telephone | 678-458-4299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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