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General NPI Number Information
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NPI Number | 1265337539
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Entity Type | Organization
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Legal Business Name | MAXIM HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 100 CONCOURSE BLVD STE 101
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5642
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Country | US
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Telephone | 804-355-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 7227 LEE DEFOREST DR
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City | COLUMBIA
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State | MD
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Zip | 21046-3236
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF FINANCE
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Name | DAVID KOWALCZYK
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Credential |
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Telephone | 410-910-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NULL
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