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General NPI Number Information
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NPI Number | 1962024943
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Entity Type | Organization
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Legal Business Name | ROOTS PEDIATRIC THERAPY
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 5976 KINGSFORD AVE
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City | PARK CITY
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State | UT
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Zip | 84098-6315
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Country | US
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Telephone | 907-744-3978
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Fax |
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Provider Business Mailing Address
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Address Line | 5976 KINGSFORD AVE
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City | PARK CITY
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State | UT
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Zip | 84098-6315
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Country | US
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Telephone | 907-744-3978
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBYN THOMPSON
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Credential | PHD, OTR/L
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Telephone | 907-744-3978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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