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General NPI Number Information
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NPI Number | 1356421077
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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 | 10/17/2006
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 1523 CONCORD PIKE STE 100
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City | WILMINGTON
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State | DE
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Zip | 19803-3653
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Country | US
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Telephone | 302-478-3434
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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 | VP OF FINANCE
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Name | DAVID KOWALCZYK
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Credential |
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Telephone | 410-910-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHAS027
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License Number State | DE
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