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General NPI Number Information
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NPI Number | 1407714983
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Entity Type | Organization
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Legal Business Name | THE LOTUS FLOWER
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 61708 BROKEN TOP DR
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City | BEND
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State | OR
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Zip | 97702-1088
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Country | US
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Telephone | 458-206-0653
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Fax |
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Provider Business Mailing Address
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Address Line | 61708 BROKEN TOP DR
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City | BEND
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State | OR
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Zip | 97702-1088
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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
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Name | ANNE MILES
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Credential |
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Telephone | 458-206-0653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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