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General NPI Number Information
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NPI Number | 1891828174
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Entity Type | Individual
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Provider Name | DENNIS ALAN ROY LPC, LMSW, SAP
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5671 N SKEEL AVE SUITE 2
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City | OSCODA
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State | MI
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Zip | 48750-1535
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Country | US
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Telephone | 989-305-5446
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Fax |
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Provider Business Mailing Address
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Address Line | 5671 N SKEEL AVE SUITE 2
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City | OSCODA
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State | MI
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Zip | 48750-1535
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Country | US
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Telephone | 989-305-5446
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401002898
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801020110
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License Number State | MI
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