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General NPI Number Information
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NPI Number | 1467566893
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Entity Type | Individual
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Provider Name | REGINA DIBELLA GIBSON MSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 10/27/2008
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Provider Practice Location Address
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Address Line | 5201 RAYMOND ST
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City | ORLANDO
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State | FL
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Zip | 32803-8208
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Country | US
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Telephone | 407-629-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 2873 MARSALA CT
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City | ORLANDO
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State | FL
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Zip | 32806-5556
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Country | US
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Telephone | 407-721-2998
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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