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General NPI Number Information
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NPI Number | 1346471869
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Entity Type | Organization
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Legal Business Name | MAYES ENTERPRISES PLLC
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 10050 BANBURRY CROSS DR STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89144-7061
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Country | US
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Telephone | 702-360-4836
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Fax | 702-548-7676
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Provider Business Mailing Address
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Address Line | 1124 OLVERA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-0556
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Country | US
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Telephone | 702-882-8415
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Fax | 702-548-7676
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD HUGH MAYES
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Credential | MD
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Telephone | 702-882-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12823
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License Number State | NV
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