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General NPI Number Information
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NPI Number | 1124765896
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Entity Type | Organization
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Legal Business Name | ROOTED THERAPEUTICS
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 3058 W BELMONT AVE # 2D
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City | CHICAGO
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State | IL
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Zip | 60618-5707
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Country | US
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Telephone | 312-725-4879
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Fax |
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Provider Business Mailing Address
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Address Line | 1628 W OHIO ST APT 2F
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City | CHICAGO
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State | IL
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Zip | 60622-6038
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Country | US
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Telephone | 127-254-8793
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DIANDRA ENTLER
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Credential | LCSW
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Telephone | 312-725-4879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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