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General NPI Number Information
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NPI Number | 1346017779
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Entity Type | Organization
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Legal Business Name | ROOT CAUSE HEALTH COACHING LLC
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 2580 FINN RD
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City | PERKIOMENVILLE
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State | PA
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Zip | 18074-9549
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Country | US
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Telephone | 267-227-2584
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 FINN RD
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City | PERKIOMENVILLE
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State | PA
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Zip | 18074-9549
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Country | US
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Telephone | 267-227-2584
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY USTON-JOHN
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Credential | NBC-HWC, FMCHC, CBME
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Telephone | 267-227-2584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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