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General NPI Number Information
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NPI Number | 1477949170
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Entity Type | Organization
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Legal Business Name | DALEW. DARBY, PH.D. CLINICAL AND HEALTH PSYCHOLOGY
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 2352 MEADOWS BLVD SUITE 300
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City | CASTLE ROCK
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State | CO
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Zip | 80109
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Country | US
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Telephone | 719-237-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 6975 MIKADO LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1313
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Country | US
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Telephone | 719-237-9929
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Fax |
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Authorized Official
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Title or Position | CLINICAL AND HEALTH PSYCHIOLOGY
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Name | DR. DALE WESLEY DARBY
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Credential | P.H.D.
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Telephone | 719-237-9929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | CO 256
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License Number State | CO
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