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General NPI Number Information
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NPI Number | 1316596422
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Entity Type | Individual
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Provider Name | MAXWELL JOSEPH LANGEVIN DPT
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Gender | Male
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1265 SGT JON STILES DR UNIT D
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2266
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Country | US
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Telephone | 303-274-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 33 SEWALL ST
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City | PORTLAND
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State | ME
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Zip | 04102-2603
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Country | US
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Telephone | 207-828-2101
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Fax | 207-553-7166
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6942
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16633
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License Number State | CO
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