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General NPI Number Information
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NPI Number | 1861536286
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Entity Type | Individual
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Provider Name | JOCELYLN A. MAYFIELD MPT
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Gender | Female
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1706 BIENVILLE BLVD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3073
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Country | US
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Telephone | 228-818-9164
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 605
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City | OCEAN SPRINGS
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State | MS
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Zip | 39566-0605
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Country | US
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Telephone | 228-818-9164
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Fax | 228-181-9167
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3521
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License Number State | MS
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