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General NPI Number Information
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NPI Number | 1801773015
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Entity Type | Organization
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Legal Business Name | OAK ROOTS WELLNESS PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 38 UNION ST S SUITE 210
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City | CONCORD
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State | NC
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Zip | 28025
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Country | US
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Telephone | 980-239-7885
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 CONCORD PKWY N STE 350
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City | CONCORD
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State | NC
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Zip | 28025-0121
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Country | US
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Telephone | 980-239-7885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESINY YATES
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Credential | LCSW
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Telephone | 980-226-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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