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General NPI Number Information
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NPI Number | 1821149170
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Entity Type | Individual
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Provider Name | MAXIMILLIAN WACHTEL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3865 CHERRY CREEK NORTH DR STE. 170
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City | DENVER
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State | CO
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Zip | 80209-3803
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Country | US
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Telephone | 303-399-5300
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Fax | 303-399-5304
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Provider Business Mailing Address
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Address Line | 2942 CENTRAL PARK BLVD
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City | DENVER
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State | CO
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Zip | 80238-2829
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Country | US
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Telephone | 303-860-7733
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2832
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2832
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 2832
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2832
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License Number State | CO
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