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General NPI Number Information
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NPI Number | 1154760338
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Entity Type | Individual
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Provider Name | TONYA MARIE MAYFIELD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 2211 16TH ST. NW
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City | MINOT
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State | ND
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Zip | 58703-0925
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Country | US
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Telephone | 701-852-0388
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 16TH ST. NW
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City | MINOT
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State | ND
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Zip | 58703-0925
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Country | US
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Telephone | 701-852-0388
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH5234
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License Number State | ND
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