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General NPI Number Information
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NPI Number | 1356374482
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Entity Type | Individual
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Provider Name | SUSAN MARIE KAUFMAN D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 109 N TREMONT ST
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City | KEWANEE
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State | IL
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Zip | 61443-2231
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Country | US
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Telephone | 309-854-6666
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Fax | 309-856-5034
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Provider Business Mailing Address
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Address Line | 109 N TREMONT ST
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City | KEWANEE
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State | IL
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Zip | 61443-2231
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Country | US
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Telephone | 309-854-6666
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Fax | 309-856-5034
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007813
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License Number State | IL
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