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1891573986 NPI number — DR. RONALD RAFAEL MAYO SR.

NPI Number: 1891573986
Health Care Provider/Practitioner: DR. RONALD RAFAEL MAYO SR.

Information about “1891573986” NPI (DR. RONALD RAFAEL MAYO SR.) exists in 1891573986 in HTML format HTML  |  1891573986 in plain Text format TXT  |  1891573986 in PDF (Portable Document Format) PDF  |  1891573986 in an XML format XML  formats.

NPI Number : 1891573986 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891573986",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAYO",
    "FirstName": "RONALD",
    "MiddleName": "RAFAEL",
    "NamePrefix": "DR.",
    "NameSuffix": "SR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "429 SATTERFIELD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW BERN",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28560-6964",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-529-0202",
    "MailingAddressFaxNumber": "252-631-5449",
    "FirstLinePracticeLocationAddress": "310 CRAVEN ST STE 10",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BERN",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28560-4983",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-675-4355",
    "PracticeLocationAddressFaxNumber": "252-631-5449",
    "EnumerationDate": "09/19/2023",
    "LastUpdateDate": "09/19/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP1600X",
        "TaxonomyName": "Pastoral Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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