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General NPI Number Information
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NPI Number | 1871307108
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Entity Type | Organization
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Legal Business Name | BHADRA RECOVERY COMPANY LLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 18500 156TH AVE NE STE 300
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City | WOODINVILLE
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State | WA
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Zip | 98072-4459
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Country | US
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Telephone | 206-957-0721
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Fax |
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Provider Business Mailing Address
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Address Line | 18500 156TH AVE NE STE 300
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City | WOODINVILLE
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State | WA
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Zip | 98072-4459
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Country | US
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Telephone | 206-957-0721
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRICIA ROBINSON
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Credential | PSY.D.
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Telephone | 253-317-5379
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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