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General NPI Number Information
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NPI Number | 1588046486
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Entity Type | Individual
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Provider Name | DARCY LYON MFT
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Gender | Female
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 811 NW 19TH AVE
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City | PORTLAND
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State | OR
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Zip | 97209-1401
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Country | US
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Telephone | 971-266-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 3154 NE 76TH AVE
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City | PORTLAND
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State | OR
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Zip | 97213-6502
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Country | US
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Telephone | 503-975-2685
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 81222
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1027
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License Number State | OR
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