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General NPI Number Information
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NPI Number | 1205777398
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Entity Type | Organization
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Legal Business Name | GENTLE ROOTS CHIROPRACTIC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 2909 WASHINGTON BLVD STE 221
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City | OGDEN
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State | UT
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Zip | 84401-4055
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Country | US
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Telephone | 707-575-0750
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Fax |
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Provider Business Mailing Address
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Address Line | 850 E 1400 S APT C102
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City | CLEARFIELD
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State | UT
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Zip | 84015-2656
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Country | US
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Telephone | 707-575-0750
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELENA DEVANEY MORRIS
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Credential | D.C.
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Telephone | 707-575-0750
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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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