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General NPI Number Information
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NPI Number | 1962211433
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Entity Type | Organization
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Legal Business Name | BRIGHT SKY INTEGRATIVE RECOVERY
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 151 SW SHEVLIN HIXON DR STE 102
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City | BEND
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State | OR
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Zip | 97702-3232
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Country | US
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Telephone | 541-906-8448
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Fax | 541-229-1284
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Provider Business Mailing Address
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Address Line | 151 SW SHEVLIN HIXON DR STE 102
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City | BEND
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State | OR
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Zip | 97702-3232
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Country | US
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Telephone | 206-225-8780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY ERBER
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Credential |
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Telephone | 62-225-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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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