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General NPI Number Information
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NPI Number | 1558893636
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Entity Type | Organization
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Legal Business Name | DARCY K. DAWSON, LIMHP, L.L.C
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1917 W FAIDLEY AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4642
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Country | US
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Telephone | 402-469-8625
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Fax |
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Provider Business Mailing Address
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Address Line | 2309 ROAD 16
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City | FAIRMONT
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State | NE
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Zip | 68354-4028
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Country | US
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Telephone | 402-469-8625
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | DARCY K. DAWSON
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Credential | LIMHP
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Telephone | 402-469-8625
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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 | 1416
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License Number State | NE
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