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General NPI Number Information
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NPI Number | 1992621304
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Entity Type | Individual
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Provider Name | MAXIMILIAN JOHN THOOFT LPC
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Gender | Male
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 401 S CLAIRBORNE RD STE 200
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City | OLATHE
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State | KS
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Zip | 66062-1735
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Country | US
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Telephone | 651-592-0352
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Fax |
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Provider Business Mailing Address
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Address Line | 9748 W 86TH ST APT D
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City | OVERLAND PARK
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State | KS
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Zip | 66212-4543
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Country | US
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Telephone | 651-592-0352
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC05437
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License Number State | KS
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