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General NPI Number Information
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NPI Number | 1174314413
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Entity Type | Individual
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Provider Name | JENNIFER KAUFMAN PT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 5 HIGH RIDGE PARK
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City | STAMFORD
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State | CT
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Zip | 06905-1332
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Country | US
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Telephone | 203-869-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 123 OLD BELDEN HILL RD APT 21
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City | NORWALK
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State | CT
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Zip | 06850-1360
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Country | US
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Telephone | 203-550-2870
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 004536
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License Number State | CT
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