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General NPI Number Information
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NPI Number | 1396592663
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Entity Type | Organization
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Legal Business Name | BRIGHT PATH, INC.
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Dates
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Enumeration Date | 05/03/2024
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 39 SE COURT AVE STE 202
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City | PENDLETON
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State | OR
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Zip | 97801-2228
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Country | US
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Telephone | 541-862-4357
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1867
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City | PENDLETON
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State | OR
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Zip | 97801-0930
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Country | US
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Telephone | 541-862-4357
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PAUL M EMMONS
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Credential | CRM, CADC-R
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Telephone | 541-246-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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