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General NPI Number Information
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NPI Number | 1346503968
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Entity Type | Organization
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Legal Business Name | MAX HEALTH INC.
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 15961 MCGREGOR BLVD STE 2
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City | FORT MYERS
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State | FL
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Zip | 33908-2556
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Country | US
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Telephone | 239-338-8069
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Fax |
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Provider Business Mailing Address
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Address Line | 15961 MCGREGOR BLVD STE 2
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City | FORT MYERS
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State | FL
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Zip | 33908-2556
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Country | US
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Telephone | 239-338-8069
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MAXINE MICHAEL
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Credential |
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Telephone | 727-415-9185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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