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General NPI Number Information
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NPI Number | 1053280537
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Entity Type | Organization
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Legal Business Name | OPTIMAL T AND WELLNESS
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 7373 S ALTON WAY STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-2333
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Country | US
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Telephone | 720-260-2613
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Fax | 720-260-2613
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Provider Business Mailing Address
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Address Line | 7373 S ALTON WAY STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-2333
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Country | US
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Telephone | 720-260-2613
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Fax | 720-260-2613
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Authorized Official
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Title or Position | NP/OWNER
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Name | KATHERINE WHITUS
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Credential | NP
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Telephone | 720-260-2613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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