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General NPI Number Information
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NPI Number | 1669252094
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Entity Type | Organization
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Legal Business Name | ROOTED IN LEARNING, LLC
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 469-225-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 17350 STATE HIGHWAY 249 STE 220
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City | HOUSTON
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State | TX
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Zip | 77064-1132
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Country | US
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Telephone | 469-225-3536
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Fax |
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Authorized Official
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Title or Position | OWNER, FOUNDER, SLP
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Name | JORDAN LEANN DURBIN
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Credential | M.S., CCC-SLP
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Telephone | 214-551-3864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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