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General NPI Number Information
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NPI Number | 1982530143
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Entity Type | Organization
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Legal Business Name | ROOTED RECOVERY SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 6801 ENGLE RD STE I
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-7930
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Country | US
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Telephone | 440-454-5416
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Fax | 800-920-7449
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Provider Business Mailing Address
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Address Line | 6801 ENGLE RD STE I
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-7930
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Country | US
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Telephone | 440-454-5416
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Fax | 800-920-7449
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MR. THOMAS LUMSDEN
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Credential | PA
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Telephone | 440-454-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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