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General NPI Number Information
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NPI Number | 1548172315
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Entity Type | Organization
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Legal Business Name | SKYLINE RECOVERY BEND
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 625 NW COLORADO AVE
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City | BEND
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State | OR
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Zip | 97703-3257
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Country | US
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Telephone | 541-205-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 625 NW COLORADO AVE
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City | BEND
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State | OR
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Zip | 97703-3257
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Country | US
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Telephone | 541-205-9126
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LINDSEY BOSSE
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Credential | LCSW, CADC-I
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Telephone | 970-729-0652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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