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General NPI Number Information
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NPI Number | 1740118025
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Entity Type | Organization
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Legal Business Name | ALIGN YOUR DESIGN LLC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 609 SE GLENCOE PL
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City | BEND
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State | OR
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Zip | 97702-1695
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Country | US
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Telephone | 541-526-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 70 SW CENTURY DR STE 100
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City | BEND
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State | OR
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Zip | 97702-3558
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Country | US
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Telephone | 541-526-3175
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRIS PROCHASKA
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Credential | MA, LPC
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Telephone | 541-526-3175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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