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General NPI Number Information
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NPI Number | 1063789451
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Entity Type | Organization
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Legal Business Name | DARLYS E. WILLER, LSCSW
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 645 E IRON AVE SUITE D
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City | SALINA
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State | KS
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Zip | 67401-2697
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Country | US
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Telephone | 785-827-2600
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Fax | 785-309-0184
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Provider Business Mailing Address
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Address Line | 645 E IRON AVE SUITE D
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City | SALINA
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State | KS
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Zip | 67401-2697
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Country | US
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Telephone | 785-827-2600
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Fax | 785-309-0184
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARLYS E WILLER
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Credential | LSCSW
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Telephone | 785-827-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 664
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License Number State | KS
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