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General NPI Number Information
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NPI Number | 1184551913
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Entity Type | Organization
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Legal Business Name | WELL ROOTED WELLNESS GROUP PLLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 642 PINEWICKET WAY
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City | PARKER
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State | CO
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Zip | 80138-4411
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Country | US
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Telephone | 720-263-0256
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Fax |
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Provider Business Mailing Address
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Address Line | 642 PINEWICKET WAY
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City | PARKER
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State | CO
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Zip | 80138-4411
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Country | US
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Telephone | 720-263-0256
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLE DAVIS
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Credential | DC
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Telephone | 720-263-0256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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