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General NPI Number Information
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NPI Number | 1326229576
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Entity Type | Organization
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Legal Business Name | KAUFMAN THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 105 FOX HILL DR
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-8741
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Country | US
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Telephone | 803-530-2214
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Fax | 803-788-4715
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Provider Business Mailing Address
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Address Line | 105 FOX HILL DR
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-8741
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Country | US
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Telephone | 803-530-2214
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Fax | 803-788-4715
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN SMITH KAUFMAN
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Credential | MA CCC-SLP
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Telephone | 803-530-2214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 2864
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License Number State | SC
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