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General NPI Number Information
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NPI Number | 1376459131
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Entity Type | Organization
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Legal Business Name | THE ROOTED PATH COLLABORATIVE, A PROGRAM OF NWR
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1388 PRESIDENTIAL HWY
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City | JEFFERSON
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State | NH
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Zip | 03583-6213
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Country | US
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Telephone | 603-631-4847
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Fax |
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Provider Business Mailing Address
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Address Line | 1388 PRESIDENTIAL HWY
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City | JEFFERSON
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State | NH
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Zip | 03583-6213
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Country | US
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Telephone | 603-631-4847
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | VALARIE M TETREAULT
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Credential | MAPP, NBC-HWC, CSC
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Telephone | 603-631-4847
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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