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General NPI Number Information
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NPI Number | 1386363208
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Entity Type | Organization
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Legal Business Name | DR. DARA WINLEY, LLC
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 17 N DEARBORN ST
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City | CHICAGO
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State | IL
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Zip | 60602-4310
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Country | US
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Telephone | 312-662-4315
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 S STATE ST APT 407
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City | CHICAGO
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State | IL
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Zip | 60616-4455
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Country | US
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Telephone | 240-429-9776
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | DARA WINLEY
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Credential |
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Telephone | 312-662-4315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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