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General NPI Number Information
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NPI Number | 1245117340
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Entity Type | Organization
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Legal Business Name | OPTUM BEHAVIORAL CARE OF OHIO, INC.
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 7000 YELLOWTAIL RD STE 210
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City | CHEYENNE
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State | WY
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Zip | 82009-6110
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Country | US
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Telephone | 877-622-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 YELLOWTAIL RD STE 210
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City | CHEYENNE
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State | WY
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Zip | 82009-6110
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Country | US
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Telephone | 877-622-0013
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | KERRY BISCORNET
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Credential |
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Telephone | 603-854-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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