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General NPI Number Information
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NPI Number | 1295744142
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Entity Type | Individual
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Provider Name | JEFFREY H KUPFER PHD, PSYD, BCBA-D
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1630 DRY CREEK DR STE 100-B
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City | LONGMONT
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State | CO
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Zip | 80503-6409
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Country | US
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Telephone | 970-310-3406
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Fax | 888-965-4615
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Provider Business Mailing Address
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Address Line | 1330 S POTOMAC ST STE 112
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City | AURORA
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State | CO
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Zip | 80012-4527
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Country | US
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Telephone | 720-845-6675
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7304
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 575
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-00-0058
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2277
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1-00-0058
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License Number State |
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