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General NPI Number Information
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NPI Number | 1831901776
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Entity Type | Organization
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Legal Business Name | ROOTED IN GRACE
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3181 NORTHWEST BLVD APT 363
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-2269
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Country | US
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Telephone | 614-500-7595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20611
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City | CANTON
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State | OH
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Zip | 44701-0611
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Country | US
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Telephone | 614-500-7595
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JASMINE LONG
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Credential | DO
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Telephone | 330-224-8352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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