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General NPI Number Information
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NPI Number | 1528293305
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Entity Type | Organization
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Legal Business Name | REBECCA H. MAXWELL, MD, PA
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 2225 COUNTY ROAD 90 SUITE 119
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City | PEARLAND
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State | TX
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Zip | 77584-4890
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Country | US
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Telephone | 713-598-6265
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Fax | 281-485-9089
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Provider Business Mailing Address
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Address Line | 3518 BRANDEMERE DR
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City | PEARLAND
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State | TX
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Zip | 77584-9446
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Country | US
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Telephone | 713-598-6265
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Fax | 281-485-9089
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. REBECCA HELENA MAXWELL
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Credential | M.D.
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Telephone | 713-598-6265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L6519
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License Number State | TX
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