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General NPI Number Information
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NPI Number | 1083820120
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Entity Type | Individual
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Provider Name | DR. WILL KAUFMAN
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1625 RIO BRAVO BLVD SW STE 36
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-6060
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Country | US
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Telephone | 505-777-3004
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Fax | 505-808-4990
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Provider Business Mailing Address
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Address Line | PO BOX 740018
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City | ATLANTA
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State | GA
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Zip | 30374-0018
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Country | US
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Telephone | 505-777-3004
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Fax | 505-808-4990
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 239066
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD 2012-0859
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License Number State | NM
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