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General NPI Number Information
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NPI Number | 1144194028
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Entity Type | Organization
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Legal Business Name | ROOTED PEDIATRICS LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 16623 CANTRELL RD STE 1C
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City | LITTLE ROCK
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State | AR
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Zip | 72223-4100
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Country | US
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Telephone | 501-749-8127
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Fax | 501-302-8300
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Provider Business Mailing Address
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Address Line | 3125 MONTROSE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72212-2723
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Country | US
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Telephone |
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Fax | 501-302-8300
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | DR. SARAH BONE
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Credential | MD
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Telephone | 501-749-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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