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General NPI Number Information
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NPI Number | 1225914807
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Entity Type | Organization
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Legal Business Name | SD THERAPY LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 3931 E 86TH AVE
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City | ANCHORAGE
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State | AK
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Zip | 99507-3661
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Country | US
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Telephone | 501-232-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 5441 S MACADAM AVE STE N
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City | PORTLAND
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State | OR
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Zip | 97239-6106
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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 | OWNER - LP COUNSELOR
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Name | STEVEN HESS
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Credential |
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Telephone | 501-232-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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