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General NPI Number Information
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NPI Number | 1942009279
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Entity Type | Individual
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Provider Name | MADELINE MAXWELL-UNDERWOOD LSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 6200 S SYRACUSE WAY STE 260
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4739
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Country | US
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Telephone | 720-432-9306
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 S MAIN ST UNIT 111
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City | GREENVILLE
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State | SC
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Zip | 29601-3361
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Country | US
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Telephone | 512-934-2155
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW.0009925992
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License Number State | CO
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