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General NPI Number Information
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NPI Number | 1720597875
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Entity Type | Organization
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Legal Business Name | ROOTS & COMPANY INC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3485 WINDSOR AVE
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City | DUBUQUE
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State | IA
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Zip | 52001-1329
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Country | US
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Telephone | 563-587-0000
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Fax | 844-331-5887
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Provider Business Mailing Address
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Address Line | 5678 LONG MEADOW CT
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City | JOHNSTON
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State | IA
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Zip | 50131-2880
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Country | US
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Telephone | 563-587-0000
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Fax | 844-331-5887
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Authorized Official
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Title or Position | VICE PRESIDENT/SECRETARY
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Name | MIKA WELLING
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Credential |
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Telephone | 563-587-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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