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General NPI Number Information
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NPI Number | 1407648454
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Entity Type | Organization
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Legal Business Name | THE ROOT CAUSE, LLC
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 11375 E SAHUARO DR APT 2067
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4086
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Country | US
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Telephone | 623-396-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 9375 E SHEA BLVD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6986
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, MEMBER/MANAGER
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Name | ALESSIA KOSTA
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Credential | LCSW
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Telephone | 623-396-5917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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