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General NPI Number Information
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NPI Number | 1497525828
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Entity Type | Organization
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Legal Business Name | OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1185 W CARMEL DR STE D4
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City | CARMEL
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State | IN
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Zip | 46032-8708
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Country | US
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Telephone | 317-569-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 11000 OPTUM CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-2503
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Country | US
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Telephone | 317-569-5433
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LESLIE FUCHS
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Credential |
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Telephone | 810-358-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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