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General NPI Number Information
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NPI Number | 1437014297
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Entity Type | Organization
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Legal Business Name | OPTUM MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 575 UNDERHILL BLVD STE 130
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City | SYOSSET
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State | NY
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Zip | 11791-3494
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Country | US
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Telephone | 516-294-9540
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000-8363
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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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 | CREDENTIALING
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Name | EMILY TORRES
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Credential |
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Telephone | 763-330-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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