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General NPI Number Information
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NPI Number | 1659016137
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Entity Type | Individual
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Provider Name | MAXWELL VAGN TUREK LCSW, LAC
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Gender | Male
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 7430 RALEIGH ST
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City | WESTMINSTER
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State | CO
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Zip | 80030-4739
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Country | US
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Telephone | 970-458-5138
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 2484
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 970-458-5138
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0002311
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09931055
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License Number State | CO
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