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General NPI Number Information
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NPI Number | 1578411286
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Entity Type | Organization
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Legal Business Name | MABRY WOMENS HEALTH
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 13059 ROYAL OAK DR
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City | HAMMOND
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State | LA
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Zip | 70403-3221
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Country | US
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Telephone | 985-320-7910
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Fax | 985-542-7010
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Provider Business Mailing Address
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Address Line | 13059 ROYAL OAK DR
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City | HAMMOND
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State | LA
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Zip | 70403-3221
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Country | US
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Telephone | 985-320-7910
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Fax | 985-542-7010
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DR. DWAN SHIRMELLE MABRY
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Credential | MD
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Telephone | 985-320-7910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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