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General NPI Number Information
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NPI Number | 1194630095
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Entity Type | Organization
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Legal Business Name | VITALEE WELLNESS GROUP LLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 405 POPE FIELD RD
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City | EASLEY
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State | SC
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Zip | 29642-1629
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Country | US
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Telephone | 864-533-9557
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Fax | 864-952-8031
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Provider Business Mailing Address
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Address Line | 1027 S. PENDLETON STREET SUITE B #103
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City | EASLEY
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State | SC
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Zip | 29642
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Country | US
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Telephone | 864-533-9557
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Fax | 864-952-8031
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Authorized Official
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Title or Position | OWNER/CEO/PARTNER
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Name | MRS. CHERYL RENEA LEE
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Credential | FNP-BC
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Telephone | 864-395-0647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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