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General NPI Number Information
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NPI Number | 1437011905
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Entity Type | Individual
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Provider Name | DARRYL JOE LYONS JR. LMSW
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 91 NORTHWEST DR
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City | PLAINVILLE
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State | CT
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Zip | 06062-1534
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Country | US
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Telephone | 888-793-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 14 LYNMOT RD
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City | HAMDEN
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State | CT
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Zip | 06514-4302
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Country | US
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Telephone | 203-919-0558
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | CT
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