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General NPI Number Information
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NPI Number | 1891573986
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Entity Type | Individual
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Provider Name | DR. RONALD RAFAEL MAYO SR.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 310 CRAVEN ST STE 10
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City | NEW BERN
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State | NC
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Zip | 28560-4983
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Country | US
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Telephone | 252-675-4355
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Fax | 252-631-5449
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Provider Business Mailing Address
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Address Line | 429 SATTERFIELD DR
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City | NEW BERN
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State | NC
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Zip | 28560-6964
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Country | US
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Telephone | 252-529-0202
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Fax | 252-631-5449
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | NC
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