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General NPI Number Information
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NPI Number | 1437861465
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Entity Type | Organization
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Legal Business Name | WELL ROOTED HEALTH, LLC
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 208 LENOX AVE # 194
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City | WESTFIELD
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State | NJ
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Zip | 07090-5120
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Country | US
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Telephone | 908-588-7532
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Fax | 888-314-3660
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Provider Business Mailing Address
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Address Line | 208 LENOX AVE # 194
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City | WESTFIELD
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State | NJ
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Zip | 07090-5120
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Country | US
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Telephone | 908-588-7532
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Fax | 888-314-3660
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Authorized Official
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Title or Position | CEO
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Name | DR. ANISH BAJAJ
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Credential | DC
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Telephone | 908-855-7532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number |
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License Number State |
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