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General NPI Number Information
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NPI Number | 1396628269
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Entity Type | Individual
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Provider Name | MR. BILLY R GILBERT
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 108 COACH GLEN DR
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-5200
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Country | US
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Telephone | 256-361-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 108 COACH GLEN DR
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-5200
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Country | US
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Telephone | 256-361-9515
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | ALC05772
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License Number State | AL
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