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General NPI Number Information
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NPI Number | 1881922607
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Entity Type | Individual
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Provider Name | WILLIAM DAVID FYLER LCMFT
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Gender | Male
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 225 E MAIN ST
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City | FLORENCE
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State | CO
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Zip | 81226-1530
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Country | US
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Telephone | 620-874-8555
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Fax | 620-872-3706
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Provider Business Mailing Address
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Address Line | 225 E MAIN ST
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City | FLORENCE
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State | CO
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Zip | 81226-1530
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Country | US
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Telephone | 620-874-8555
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Fax | 620-872-3706
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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 | 345
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License Number State | KS
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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 | 905
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License Number State | CO
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