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General NPI Number Information
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NPI Number | 1982539789
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Entity Type | Organization
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Legal Business Name | TREE ROOTS MEDICAL PLLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 109 INTERNATIONAL DR STE 200
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City | FRANKLIN
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State | TN
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Zip | 37067-1763
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Country | US
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Telephone | 615-538-8522
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Fax |
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Provider Business Mailing Address
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Address Line | 109 INTERNATIONAL DR STE 200
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City | FRANKLIN
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State | TN
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Zip | 37067-1763
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LOGAN EASTERDAY
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Credential | AGACNP
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Telephone | 615-538-8522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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