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General NPI Number Information
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NPI Number | 1841181385
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Entity Type | Organization
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Legal Business Name | B'TRANQUIL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 5530 N HENRY BLVD
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-3220
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Country | US
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Telephone | 678-374-2575
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 N HENRY BLVD
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-3220
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Country | US
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Telephone | 678-374-2575
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDIE SHANDELLE LEE
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Credential | NP
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Telephone | 678-374-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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