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General NPI Number Information
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NPI Number | 1144471640
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Entity Type | Individual
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Provider Name | ROBERT GILBERT KAUFMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 5555 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4622
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Country | US
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Telephone | 312-404-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 7121 E RANCHO VISTA DR UNIT 1007
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1388
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Country | US
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Telephone | 312-404-4840
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036117923
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5231
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License Number State | AZ
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