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General NPI Number Information
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NPI Number | 1881500957
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Entity Type | Organization
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Legal Business Name | RIVER & ROOT INTEGRATIVE WELLNESS, LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 3663 COLLEGE ST SE STE A
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City | LACEY
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State | WA
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Zip | 98503-2303
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Country | US
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Telephone | 520-561-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 MYRTLE PL SE
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City | OLYMPIA
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State | WA
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Zip | 98501-3143
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Country | US
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Telephone | 520-561-7599
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Fax |
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Authorized Official
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Title or Position | BSN, RN, IBCLC
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Name | MRS. CHRISTINA KRESSIN
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Credential | RN
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Telephone | 630-918-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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