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General NPI Number Information
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NPI Number | 1134347701
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Entity Type | Individual
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Provider Name | JOHN MAXEY DO
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 48 MDG/RAF LAKENHEATH UNIT 5115
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City | APO
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State | AE
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Zip | 09461
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Country | US
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Telephone | 314-226-8603
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 5115 BOX MDG
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City | APO
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State | AE
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Zip | 09461-5115
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Country | US
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Telephone | 314-226-8603
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR 0048851
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License Number State | CO
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