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General NPI Number Information
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NPI Number | 1184508954
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Entity Type | Organization
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Legal Business Name | ROOTED DOVE INTEGRATIVE WELLNESS, LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 14938 CODY'S RUN
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City | CYPRESS
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State | TX
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Zip | 77429-5155
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Country | US
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Telephone | 979-493-6379
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Fax |
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Provider Business Mailing Address
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Address Line | 13121 LOUETTA RD # 920
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City | CYPRESS
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State | TX
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Zip | 77429-5155
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Country | US
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Telephone | 832-967-7518
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL PLYMPTON
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Credential |
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Telephone | 832-967-7518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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