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General NPI Number Information
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NPI Number | 1477245918
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Entity Type | Organization
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Legal Business Name | TAKING ROOT FARMS
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 565 S TRIMBLE RD
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City | MANSFIELD
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State | OH
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Zip | 44906-3449
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Country | US
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Telephone | 419-688-0019
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3502
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City | MANSFIELD
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State | OH
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Zip | 44907-0502
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Country | US
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Telephone | 419-688-0019
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ANGELA M EISAMAN
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Credential |
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Telephone | 419-688-0019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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