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General NPI Number Information
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NPI Number | 1790679264
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Entity Type | Organization
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Legal Business Name | OPTUM BEHAVIORAL CARE OF DELAWARE, INC.
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 3521 SILVERSIDE RD STE 2D
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City | WILMINGTON
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State | DE
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Zip | 19810-4900
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Country | US
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Telephone | 302-268-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OPTUM CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-2956
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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 | VICE PRESIDENT
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Name | AMANDA STACEY BRONSON
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Credential |
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Telephone | 978-222-3121
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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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