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General NPI Number Information
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NPI Number | 1225973027
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Entity Type | Organization
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Legal Business Name | ROOTED IN DEEP, LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 3905 SADIE RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4010
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Country | US
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Telephone | 443-675-2184
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Fax |
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Provider Business Mailing Address
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Address Line | 3905 SADIE RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4010
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Country | US
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Telephone | 443-675-2184
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CORAL VERONA ROSS
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Credential |
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Telephone | 410-491-1917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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