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General NPI Number Information
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NPI Number | 1023917861
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Entity Type | Individual
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Provider Name | CIDNIE LANAE MAXWELL RN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 901 INDIANA AVE STE 665
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City | WICHITA FALLS
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State | TX
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Zip | 76301-6718
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Country | US
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Telephone | 940-432-0588
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 290
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City | BYERS
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State | TX
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Zip | 76357-0290
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Country | US
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Telephone | 940-217-7269
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 904906
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License Number State | TX
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