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General NPI Number Information
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NPI Number | 1013287168
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Entity Type | Individual
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Provider Name | THOMAS KAUFFMANN LICSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 182 BARKER RD
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City | LONDONDERRY
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State | VT
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Zip | 05148-6508
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Country | US
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Telephone | 802-365-1643
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | LONDONDERRY
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State | VT
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Zip | 05148-0370
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Country | US
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Telephone | 801-520-9787
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9539574-3501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0134372
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License Number State | VT
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