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General NPI Number Information
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NPI Number | 1770230179
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Entity Type | Organization
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Legal Business Name | ROOT COUNSELING GROWTH & DEVELOPMENT FOR ADULTS, ADOLES & CHILD, LLC
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Dates
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Enumeration Date | 03/05/2022
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Last Update Date | 03/05/2022
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Provider Practice Location Address
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Address Line | 500 W WILSON BRIDGE RD STE 75
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City | WORTHINGTON
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State | OH
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Zip | 43085-2238
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Country | US
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Telephone | 614-395-9183
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W WILSON BRIDGE RD STE 75
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City | WORTHINGTON
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State | OH
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Zip | 43085-2238
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Country | US
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Telephone | 614-395-9183
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. AVALON BULTEMA ESPINOZA
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Credential | LISW-S
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Telephone | 614-395-9183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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