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General NPI Number Information
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NPI Number | 1720397813
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Entity Type | Individual
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Provider Name | MICHAEL D MAYS LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 12909 N 56TH ST SUITE 204
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1275
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Country | US
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Telephone | 813-765-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 12909 N 56TH ST SUITE 204
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1275
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Country | US
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Telephone | 813-765-4770
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2503
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License Number State | TX
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