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General NPI Number Information
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NPI Number | 1407964703
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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 | 08/27/2006
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 6612 E 75TH ST STE 400&425
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2875
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Country | US
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Telephone | 317-849-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 7227 LEE DEFOREST DRIVE
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City | COLUMBIA
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State | MD
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Zip | 21046
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Country | US
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Telephone | 410-910-1500
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Fax | 410-910-1600
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 002773
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License Number State | IN
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