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General NPI Number Information
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NPI Number | 1750893129
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Entity Type | Individual
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Provider Name | MS. REGINA MICHELLE GALLION
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Gender | Female
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 1301 HARVEY RD APT 279
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City | COLLEGE STATION
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State | TX
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Zip | 77840-3795
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Country | US
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Telephone | 512-755-9525
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 HARVEY RD APT 279
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City | COLLEGE STATION
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State | TX
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Zip | 77840-3795
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Country | US
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Telephone | 512-755-9525
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 123760
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License Number State | TX
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