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General NPI Number Information
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NPI Number | 1235399114
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Entity Type | Individual
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Provider Name | MARINA S KAUFMAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 9800 S HEALTHPARK DR STE 110
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City | FORT MYERS
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State | FL
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Zip | 33908-3630
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Country | US
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Telephone | 239-343-6202
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Fax | 239-343-4159
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Provider Business Mailing Address
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Address Line | 3466 N HARBOR CITY BLVD CREDENTIALING
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City | MELBOURNE
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State | FL
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Zip | 32935-5713
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Country | US
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Telephone | 321-434-1981
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Fax | 321-951-7408
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME116011
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License Number State | FL
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