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General NPI Number Information
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NPI Number | 1326537556
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Entity Type | Individual
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Provider Name | JESSICA L KAUFMAN CNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3224 JARVIS RD
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City | LIMA
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State | OH
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Zip | 45807-2213
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Country | US
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Telephone | 419-996-5757
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Fax | 419-996-5913
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Provider Business Mailing Address
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Address Line | 2745 FORT AMANDA RD
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City | LIMA
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State | OH
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Zip | 45805-4805
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Country | US
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Telephone | 419-996-5700
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.301662
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.022810
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License Number State | OH
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