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General NPI Number Information
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NPI Number | 1427303601
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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 | 07/13/2012
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 4901 THOMPSON PKWY
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City | LOVELAND
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State | CO
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Zip | 80534-6426
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Country | US
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Telephone | 970-613-2330
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Fax | 970-613-2340
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Provider Business Mailing Address
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Address Line | 4901 THOMPSON PKWY
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City | LOVELAND
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State | CO
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Zip | 80534-6426
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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 ADMINISTRATOR
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Name | DENESE CLARK
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Credential |
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Telephone | 303-326-6717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number | 1680000003
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License Number State | CO
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