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General NPI Number Information
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NPI Number | 1417460437
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Entity Type | Individual
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Provider Name | GREGORY DARCH GAY PLPC
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Gender | Male
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 6060 N OAK TRFY
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City | KANSAS CITY
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State | MO
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Zip | 64118-5130
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Country | US
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Telephone | 181-646-8668
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Fax | 816-468-6688
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Provider Business Mailing Address
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Address Line | 6151 NE VILLAGE LN
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City | KANSAS CITY
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State | MO
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Zip | 64118-5128
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Country | US
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Telephone | 816-255-6798
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2012037395
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License Number State | MO
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