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General NPI Number Information
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NPI Number | 1033044631
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Entity Type | Organization
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Legal Business Name | AXELROD BEHAVIORAL HEALTH AND PERFORMANCE PC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 3900 S WADSWORTH BLVD STE 585
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City | LAKEWOOD
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State | CO
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Zip | 80235-2224
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Country | US
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Telephone | 303-989-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 S WADSWORTH BLVD STE 585
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City | LAKEWOOD
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State | CO
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Zip | 80235-2224
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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 | OWNER
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Name | DR. EVAN AXELROD
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Credential | PSY.D., ABPP
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Telephone | 303-359-9706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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