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General NPI Number Information
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NPI Number | 1104311489
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Entity Type | Individual
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Provider Name | MARY BRAUD HILL PMHNP-DNP, BC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 44617 S AIRPORT RD
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City | HAMMOND
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State | LA
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Zip | 70403-0311
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Country | US
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Telephone | 985-429-7611
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Fax | 985-429-7616
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Provider Business Mailing Address
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Address Line | 4420 WARE AVE
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City | JEFFERSON
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State | LA
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Zip | 70121-1327
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Country | US
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Telephone | 504-338-3947
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP09951
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License Number State | LA
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