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General NPI Number Information
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NPI Number | 1457283558
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Entity Type | Organization
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Legal Business Name | PURELEE HEALTH & WELLNESS GROUP LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE R
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 470-962-7252
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Fax | 404-595-5026
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Provider Business Mailing Address
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Address Line | 575 PHARR RD NE UNIT 550971
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City | ATLANTA
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State | GA
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Zip | 30355-5038
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Country | US
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Telephone | 470-962-7252
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Fax | 404-595-5026
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Authorized Official
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Title or Position | NP
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Name | CINDY ODEN
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Credential | NP
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Telephone | 470-962-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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