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General NPI Number Information
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NPI Number | 1134163496
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Entity Type | Individual
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Provider Name | DENNIS L. KAUFFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1744 NW BUSINESS HWY 20
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City | TOLEDO
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State | OR
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Zip | 97391
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Country | US
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Telephone | 541-336-5181
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Fax | 541-336-7614
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Provider Business Mailing Address
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Address Line | 1744 NW BUSINESS HWY 20
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City | TOLEDO
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State | OR
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Zip | 97391
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Country | US
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Telephone | 541-336-5181
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Fax | 541-336-7614
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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 | MD12389
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License Number State | OR
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