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General NPI Number Information
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NPI Number | 1104191972
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Entity Type | Organization
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Legal Business Name | MAXWELL HEIRSCH, INC.
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1929 HICKORY AVE
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City | HARAHAN
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State | LA
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Zip | 70123-1630
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Country | US
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Telephone | 504-737-0522
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Fax | 504-737-0533
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Provider Business Mailing Address
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Address Line | 1929 HICKORY AVE
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City | HARAHAN
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State | LA
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Zip | 70123-1630
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Country | US
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Telephone | 504-737-0522
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Fax | 504-737-0533
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Authorized Official
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Title or Position | CEO
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Name | JAIME L MAXWELL
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Credential |
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Telephone | 504-737-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 12258
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License Number State | LA
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