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General NPI Number Information
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NPI Number | 1326146424
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Entity Type | Individual
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Provider Name | CHRISTIN MAYFIELD DDS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 109 BEE ST
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-789-7351
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Fax |
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Provider Business Mailing Address
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Address Line | 110 EAST COOPER AVE. PO BOX 1922
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City | FOLLY BEACH
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State | SC
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Zip | 29439-1922
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Country | US
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Telephone | 843-588-2207
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3925
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License Number State | SC
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