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General NPI Number Information
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NPI Number | 1932052198
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Entity Type | Individual
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Provider Name | MARY JOY GALLAWAY DNP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 911 N WESTERN AVE
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City | MARION
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State | IN
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Zip | 46952-2505
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Country | US
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Telephone | 765-573-5567
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 SHADOWBROOK DR
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City | MARION
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State | IN
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Zip | 46953-1372
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Country | US
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Telephone | 765-661-5466
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 28248211A
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License Number State | IN
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