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General NPI Number Information
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NPI Number | 1154132348
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Entity Type | Organization
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Legal Business Name | FUSION HEALTH RCM
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 154 LEE GREENWOOD WAY
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City | KODAK
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State | TN
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Zip | 37764-2169
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Country | US
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Telephone | 865-805-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 404 HOLLY CT
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5314
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Country | US
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Telephone | 865-805-0567
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW JOHNSON
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Credential | M.A., M.DIV
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Telephone | 865-805-0567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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