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General NPI Number Information
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NPI Number | 1427257195
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Entity Type | Individual
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Provider Name | LEAH A MAXWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 6 STATE ST STE 310 STEPPING STONES
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City | BANGOR
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State | ME
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Zip | 04401-5133
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Country | US
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Telephone | 888-866-1113
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Fax | 207-941-8942
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Provider Business Mailing Address
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Address Line | 482 CONGRESS ST STE 301 STEPPING STONES
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City | PORTLAND
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State | ME
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Zip | 04101-3437
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Country | US
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Telephone | 888-866-0113
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Fax | 207-775-2255
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MC11160
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC12169
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License Number State | ME
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