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General NPI Number Information
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NPI Number | 1225715360
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Entity Type | Organization
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Legal Business Name | ROOTS AND BLOOM THERAPY PLLC
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 480 ELM PL
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2538
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Country | US
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Telephone | 847-340-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 83 HICKORY LN
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3122
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Country | US
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Telephone | 847-940-7102
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE KOWALSKI
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Credential |
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Telephone | 847-340-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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