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General NPI Number Information
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NPI Number | 1861997983
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Entity Type | Individual
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Provider Name | ERIN MAXFIELD D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 321 MAIN ST
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City | ACTON
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State | MA
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Zip | 01720-3799
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Country | US
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Telephone | 978-635-8700
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Fax | 978-635-8936
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Provider Business Mailing Address
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Address Line | 464 COMMON ST UNIT 200
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City | BELMONT
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State | MA
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Zip | 02478-2704
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30286501
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 289069
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License Number State | MA
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