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General NPI Number Information
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NPI Number | 1720987175
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Entity Type | Individual
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Provider Name | CHRISTOPHER ALAN MAYFIELD RDN,
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Gender | Male
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 9500 KANIS RD STE 503
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6389
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Country | US
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Telephone | 501-202-4678
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Fax | 501-202-4299
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Provider Business Mailing Address
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Address Line | 183 ALABAMA DR
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City | JACKSONVILLE
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State | AR
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Zip | 72076-1004
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Country | US
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Telephone | 907-712-7858
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1005E
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License Number State | AR
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