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General NPI Number Information
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NPI Number | 1780508135
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Entity Type | Organization
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Legal Business Name | ROOTED PATH THERAPY PLLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 540 MAIN ST STE 110
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City | DELTA
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State | CO
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Zip | 81416-1834
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Country | US
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Telephone | 970-399-9492
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Fax |
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Provider Business Mailing Address
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Address Line | 540 MAIN ST STE 110
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City | DELTA
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State | CO
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Zip | 81416-1834
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Country | US
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Telephone | 970-399-9492
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW BOWEN
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Credential | LMFT
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Telephone | 801-870-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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