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Hi,
The answer is No ! You don't need to give exam in Maharashtra. You can give the exam from anywhere. Only thing you need to apply in Maharashtra state quota admissions. All the top government medical colleges in India give admissions for MBBS based on the marks obtained by the student in the NEET examination. This is mandatory for all the government and private colleges The process of admission in MBBS in any government medical college consists of centralized counselling.
Hope that helps.
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