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General NPI Number Information
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NPI Number | 1144367038
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Entity Type | Individual
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Provider Name | RONALD CHARLES KAUFMANN DC, LIAC
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 333 ROUTE 25A SUITE 40
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City | ROCKY POINT
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State | NY
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Zip | 11778-8556
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Country | US
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Telephone | 631-209-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 333 ROUTE 25A SUITE 40
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City | ROCKY POINT
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State | NY
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Zip | 11778-8556
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Country | US
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Telephone | 631-209-0050
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | X004157-1
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License Number State | NY
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