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General NPI Number Information
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NPI Number | 1275545790
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Entity Type | Individual
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Provider Name | DR. MAURICE E KAUFMAN SR.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 WESTBROOK CORPORATE CTR SUITE 300
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City | WESTCHESTER
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State | IL
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Zip | 60154-5701
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Country | US
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Telephone | 708-712-0305
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Fax | 708-343-4889
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Provider Business Mailing Address
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Address Line | 621 S 21ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-1475
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Country | US
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Telephone | 708-712-0305
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Fax | 708-343-4889
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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