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NPI Code Detail

MEDICARE: MARY CLARE DUNAWAY

MEDICARE: MARY CLARE DUNAWAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4003MS

General Provider Information

NPI Number : 1407791262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CLARE DUNAWAY
Provider Business Mailing Address
First Line : 42465 HIGHWAY 195
Second Line :
City : HALEYVILLE
State : AL
Zip : 35565-7052
Country : US
Telephone Number : 256-350-1764
Fax Number :
Provider Business Practice Location Address
First Line : 1800 BEACH DR
Second Line :
City : GULFPORT
State : MS
Zip : 39507-1553
Country : US
Telephone Number : 228-897-4452
Fax Number : 228-897-4481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ MARY CLARE DUNAWAY ” Practice Location

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