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Individual
MR. TREVOR W MAXWELL
Active
Individual
MR. TREVOR W MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381396700
—
FL
01
—
53880
BLUE CROSS BLUE SHIELD
FL
01
—
AO988Z
MEDICARE ID-PTAN
FL
Enumeration date
08/08/2006
Last updated
10/29/2008
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