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General NPI Number Information
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NPI Number | 1689437485
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Entity Type | Organization
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Legal Business Name | GUIDING ROOTS MANAGEMENT GROUP
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 819 E 64TH ST STE 246
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-6608
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Country | US
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Telephone | 317-268-2049
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 S MERIDIAN ST STE 5
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City | INDIANAPOLIS
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State | IN
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Zip | 46217-3310
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Country | US
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Telephone | 317-460-4812
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Fax | 317-854-0516
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY SINN
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Credential |
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Telephone | 317-460-4812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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