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General NPI Number Information
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NPI Number | 1790163418
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Entity Type | Organization
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Legal Business Name | MAXI CARE OBGYN ASSOCIATES
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 7100 BALTIMORE AVE STE 510
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3627
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Country | US
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Telephone | 301-325-0264
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Fax |
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Provider Business Mailing Address
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Address Line | 14909 DOWNEY CT
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City | BOWIE
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State | MD
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Zip | 20721-3278
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Country | US
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Telephone | 301-325-0264
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES JOHN AKODA
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Credential | MD
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Telephone | 301-325-0264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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