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General NPI Number Information
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NPI Number | 1205940921
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN OF COLORADO
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 16601 E CENTRETECH PARKWAY
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City | AURORA
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-739-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 E DAKOTA AVE
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City | DENVER
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State | CO
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Zip | 80247-1314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGIONAL PRESIDENT
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Name | MICHAEL S RAMSEIER
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Credential |
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Telephone | 303-344-7256
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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