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General NPI Number Information
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NPI Number | 1790619658
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Entity Type | Individual
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Provider Name | RACHEL ROOT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 19 14TH AVE
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City | NEW GLARUS
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State | WI
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Zip | 53574-9796
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Country | US
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Telephone | 608-527-2410
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 WILD WILLOW WAY APT 202
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City | VERONA
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State | WI
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Zip | 53593-8184
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 852461
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4876-154
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License Number State | WI
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