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General NPI Number Information
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NPI Number | 1730054644
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Entity Type | Organization
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Legal Business Name | REAL & ROOTED COUNSELING LLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 707 MIAMISBURG CENTERVILLE RD STE 211
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City | DAYTON
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State | OH
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Zip | 45459-6522
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Country | US
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Telephone | 937-709-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 707 MIAMISBURG CENTERVILLE RD
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City | DAYTON
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State | OH
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Zip | 45459-6522
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Country | US
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Telephone | 937-709-0924
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARRI SMITH
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Credential |
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Telephone | 937-709-0924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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