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General NPI Number Information
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NPI Number | 1053279836
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Entity Type | Individual
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Provider Name | ROY E. TREIYER MA
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 717 ELM AVE
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City | SOUTH PITTSBURG
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State | TN
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Zip | 37380-1451
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Country | US
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Telephone | 423-837-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 10003 TELLICO DR
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City | OOLTEWAH
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State | TN
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Zip | 37363-8489
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | TN
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