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General NPI Number Information
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NPI Number | 1245814458
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Entity Type | Organization
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Legal Business Name | MAGELLAN HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 14100 MAGELLAN PLZ
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-4644
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Country | US
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Telephone | 307-459-6159
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20520
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City | CHEYENNE
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State | WY
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Zip | 82003-7012
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Country | US
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Telephone | 307-459-6159
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR, SERVICE OPERATIONS
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Name | TAMMY COOLEY
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Credential |
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Telephone | 307-459-6159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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