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General NPI Number Information
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NPI Number | 1154270619
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Entity Type | Individual
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Provider Name | MARVIN D MABRY D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 703 E MAIN ST
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City | LEBANON
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State | KY
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Zip | 40033-8695
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Country | US
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Telephone | 270-699-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 HUSTONVILLE RD
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City | DANVILLE
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State | KY
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Zip | 40422-2424
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Country | US
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Telephone | 859-236-5562
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Fax | 859-236-5564
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 299941
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License Number State | KY
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