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General NPI Number Information
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NPI Number | 1457823791
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Entity Type | Individual
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Provider Name | ROY TOOKE LLMSW
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Gender | Male
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 36 MANCHESTER ST W
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City | BATTLE CREEK
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State | MI
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Zip | 49037-3016
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Country | US
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Telephone | 269-245-3900
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Fax | 269-245-3899
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Provider Business Mailing Address
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Address Line | 115 WA WEE NORK DR APT 2B
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City | BATTLE CREEK
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State | MI
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Zip | 49015-3302
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Country | US
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Telephone | 269-420-4417
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801100068
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License Number State | MI
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