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General NPI Number Information
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NPI Number | 1841018249
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Entity Type | Organization
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Legal Business Name | THRIVING ROOTS NUTRITION, PLLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 2269 LYELL AVE
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City | ROCHESTER
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State | NY
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Zip | 14606-5723
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Country | US
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Telephone | 585-563-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 1564 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4119
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Country | US
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Telephone | 585-563-2544
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN NUTRITIONIST
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Name | MRS. HANNAH ELIZABETH BALL
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Credential | RDN, CDN
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Telephone | 585-563-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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