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General NPI Number Information
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NPI Number | 1174291777
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Entity Type | Organization
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Legal Business Name | THE MAYFLOWER
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 409 S MAIN ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2305
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Country | US
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Telephone | 540-463-3161
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Fax | 540-464-3214
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | WARSAW
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State | VA
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Zip | 22572-0249
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Country | US
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Telephone | 804-333-1590
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Fax | 804-333-1594
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CATHERINE B BIRLEY
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Credential |
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Telephone | 804-333-1590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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