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General NPI Number Information
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NPI Number | 1740114263
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Entity Type | Organization
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Legal Business Name | ROOT TO LEAF PEDIATRICS PLLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 5 WILTON RD
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City | MILFORD
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State | NH
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Zip | 03055-3128
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Country | US
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Telephone | 603-522-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WILTON RD
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City | MILFORD
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State | NH
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Zip | 03055-3128
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | APRN/OWNER
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Name | HEATHER M MERRILL PROCTOR
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Credential | APRN
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Telephone | 603-522-7910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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