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General NPI Number Information
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NPI Number | 1649155235
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Entity Type | Individual
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Provider Name | COURTNEY CHRISTINE MAXWELL
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 379 MT HOPE RD
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City | MIDDLETOWN
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State | NY
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Zip | 10940-7135
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Country | US
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Telephone | 845-485-9803
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Fax |
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Provider Business Mailing Address
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Address Line | 7 FLEETWOOD DR
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City | GOSHEN
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State | NY
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Zip | 10924-2619
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Country | US
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Telephone | 845-545-2752
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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