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General NPI Number Information
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NPI Number | 1669518304
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Entity Type | Individual
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Provider Name | MICHAEL PAUL DENNIS M.S.L.P.C
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 602 N MAIN ST
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City | ROCKDALE
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State | TX
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Zip | 76567-2323
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Country | US
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Telephone | 254-289-0108
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Fax | 254-793-4271
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Provider Business Mailing Address
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Address Line | PO BOX 10612
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City | KILLEEN
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State | TX
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Zip | 76547-0612
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Country | US
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Telephone | 254-289-0108
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Fax | 254-793-4271
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13086
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License Number State | TX
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