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General NPI Number Information
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NPI Number | 1043768021
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Entity Type | Individual
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Provider Name | ARAZELI L WAGNER
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Gender | Female
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 9197 GRANT ST STE 140
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City | THORNTON
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State | CO
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Zip | 80229-4329
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Country | US
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Telephone | 720-878-0078
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 150520
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City | LAKEWOOD
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State | CO
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Zip | 80215-0520
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Country | US
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Telephone | 720-878-0078
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 113808
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001734
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License Number State | CO
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