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General NPI Number Information
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NPI Number | 1467085316
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Entity Type | Organization
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Legal Business Name | ROOT THERAPIES
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 4370 S TAMIAMI TRL STE 314
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City | SARASOTA
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State | FL
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Zip | 34231-3437
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Country | US
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Telephone | 941-777-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 4370 S TAMIAMI TRL STE 314
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City | SARASOTA
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State | FL
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Zip | 34231-3437
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Country | US
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Telephone | 941-777-5505
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Fax |
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Authorized Official
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Title or Position | PRACTITIONER
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Name | DR. JESSICA KATHLEEN FRITZ
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Credential | AP
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Telephone | 941-777-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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