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General NPI Number Information
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NPI Number | 1528689296
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Entity Type | Individual
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Provider Name | GABRIELLA REGINA EDINGTON MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1303 DR MARTIN L KING JR AVE
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City | MOBILE
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State | AL
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Zip | 36603-5341
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Country | US
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Telephone | 251-432-4117
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Fax | 251-436-7762
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Provider Business Mailing Address
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Address Line | PO BOX 485
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City | LINCOLN
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State | AL
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Zip | 35096-0485
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Country | US
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Telephone | 850-559-4023
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | TRN30355
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD.46380
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License Number State | AL
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