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General NPI Number Information
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NPI Number | 1235023714
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Entity Type | Organization
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Legal Business Name | FUSION HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 169A MEDICAL CIR STE 100
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3655
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Country | US
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Telephone | 803-949-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 169A MEDICAL CIR STE 100
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3655
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Country | US
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Telephone | 803-949-8800
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DEE GRIFFIN
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Credential | NP
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Telephone | 803-949-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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