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General NPI Number Information
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NPI Number | 1083898795
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Entity Type | Organization
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Legal Business Name | STEVEN E. KAUFMAN D.P.M., S.C.
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 3535 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4171
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Country | US
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Telephone | 414-383-2995
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Fax | 414-383-2918
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Provider Business Mailing Address
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Address Line | 3615 W OKLAHOMA AVE SUITE 101
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City | MILWAUKEE
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State | WI
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Zip | 53215-4100
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Country | US
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Telephone | 414-383-2995
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Fax | 414-383-2918
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. STEVEN E KAUFMAN
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Credential | D.P.M.
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Telephone | 414-383-2995
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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 | 573-025
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License Number State | WI
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