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General NPI Number Information
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NPI Number | 1053884858
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Entity Type | Organization
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Legal Business Name | ROOTS ACUPUNCTURE AND HEALING LLC
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 2000 P ST NW STE 620
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City | WASHINGTON
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State | DC
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Zip | 20036-6920
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Country | US
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Telephone | 240-360-1712
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 16TH ST NW APT 402
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City | WASHINGTON
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State | DC
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Zip | 20009-3337
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Country | US
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Telephone | 314-609-4143
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENA ABIGAIL HOFFMAN MUNSTER
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Credential | L.AC
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Telephone | 240-360-1712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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