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General NPI Number Information
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NPI Number | 1548127608
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Entity Type | Organization
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Legal Business Name | SACRED ROOT THERAPY
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 508 GREEN HARBOR CIR
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City | FRANKLIN
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State | TN
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Zip | 37069-7190
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Country | US
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Telephone | 615-419-5725
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Fax |
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Provider Business Mailing Address
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Address Line | 508 GREEN HARBOR CIR
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City | FRANKLIN
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State | TN
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Zip | 37069-7190
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Country | US
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Telephone | 615-419-5725
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | LAUREN RILEY DAMIANI
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Credential | OTD
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Telephone | 615-419-5725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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