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General NPI Number Information
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NPI Number | 1720467590
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Entity Type | Individual
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Provider Name | MEREDITH MARGARET MAXWELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2852 REMINGTON GREEN CIR STE 101&102
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City | TALLAHASSEE
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State | FL
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Zip | 32308-8710
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Country | US
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Telephone | 404-556-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 8513 CASTLE PINE DRIVE
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City | TALLAHASSEE
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State | FL
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Zip | 32312
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Country | US
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Telephone | 404-556-1293
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 82883
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | ME17009
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License Number State | FL
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