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General NPI Number Information
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NPI Number | 1477630945
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Entity Type | Individual
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Provider Name | DEBRA GIBSON LPC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 502 BANK ST NE SUITE D
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City | DECATUR
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State | AL
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Zip | 35601-1606
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Country | US
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Telephone | 256-340-0300
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Fax | 256-340-0353
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Provider Business Mailing Address
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Address Line | 502 BANK ST NE SUITE D
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City | DECATUR
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State | AL
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Zip | 35601-1606
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Country | US
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Telephone | 256-340-0300
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Fax | 256-340-0353
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1699
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License Number State | AL
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