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General NPI Number Information
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NPI Number | 1538192240
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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 | 07/08/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3109 W DR MARTIN LUTHER KING JR BLVD STE 500
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City | TAMPA
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State | FL
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Zip | 33607-6260
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Country | US
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Telephone | 813-289-0760
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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 | 410-910-1500
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Fax | 410-910-1600
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Authorized Official
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Title or Position | EXECUTIVE VP OF FINANCE
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Name | DAVID KOWALCZYK
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Credential |
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Telephone | 410-910-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 20673096
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License Number State | FL
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