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General NPI Number Information
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NPI Number | 1952595738
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Entity Type | Organization
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Legal Business Name | RAYFORD B. MITCHELL M.D., P.A.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 3349 S HIGHWAY 181 SUITE 3
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City | KENEDY
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State | TX
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Zip | 78119-5240
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Country | US
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Telephone | 830-583-3900
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Fax | 830-583-3903
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Provider Business Mailing Address
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Address Line | 3349 S HIGHWAY 181 SUITE 3
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City | KENEDY
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State | TX
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Zip | 78119-5268
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Country | US
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Telephone | 830-583-3900
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Fax | 830-583-3903
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYFORD BENARD MITCHELL
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Credential | M.D.
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Telephone | 830-583-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2718
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License Number State | TX
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