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NPI 1114822426

NPI 1114822426 : ADRIANNA AKEVIA GALLOWAY : DOTHAN, AL

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General NPI Number Information
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    NPI Number           |    1114822426
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIANNA AKEVIA GALLOWAY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/08/2026
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    Last Update Date     |    10/08/2026
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Provider Practice Location Address
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    Address Line         |    2363 S BRANNON STAND RD 
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    City                 |    DOTHAN
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    State                |    AL
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    Zip                  |    36305-7005
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    Country              |    US
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    Telephone            |    334-618-6809
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1234 STATE HIGHWAY 134 W 
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    City                 |    HEADLAND
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    State                |    AL
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    Zip                  |    36345-7088
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    NULL
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