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General NPI Number Information
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NPI Number | 1376173849
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Entity Type | Organization
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Legal Business Name | MAXWELL BEHAVIORAL LLC
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 3628 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4069
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Country | US
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Telephone | 305-321-4782
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Fax |
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Provider Business Mailing Address
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Address Line | 14101 SW 88TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33176-7207
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Country | US
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Telephone | 305-321-4782
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHARLES FINDO
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Credential |
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Telephone | 305-321-4782
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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 |
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