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General NPI Number Information
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NPI Number | 1801654116
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Entity Type | Organization
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Legal Business Name | ROOTED WELLNESS SOLUTIONS PLLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 2305 WOODBURY DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-6620
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Country | US
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Telephone | 919-698-8194
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Fax |
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Provider Business Mailing Address
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Address Line | 169 BOONE SQUARE ST UNIT 218
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2561
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Country | US
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Telephone | 919-698-8194
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TRICIA CHAPMAN
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Credential | LCMHC
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Telephone | 828-391-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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