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General NPI Number Information
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NPI Number | 1437229895
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Entity Type | Individual
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Provider Name | ALEXANDER KARL-WILHELM MAYBACH D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 8510 BRYANT ST STE 320
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City | WESTMINSTER
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State | CO
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Zip | 80031-3845
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Country | US
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Telephone | 720-780-5599
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Fax | 303-955-1039
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Provider Business Mailing Address
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Address Line | 1805 SHEA CENTER DR STE 450
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2255
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Country | US
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Telephone | 303-357-2559
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Fax | 303-955-1039
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 43699
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License Number State | CO
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