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General NPI Number Information
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NPI Number | 1396208419
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Entity Type | Individual
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Provider Name | ODELYA HARTUNG KAUFMAN MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1111 WESTCHESTER AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10604-3525
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Country | US
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Telephone | 914-327-2700
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Fax | 914-302-8800
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Provider Business Mailing Address
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Address Line | 1111 WESTCHESTER AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10604-3525
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Country | US
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Telephone |
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 75435
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 320307
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License Number State | NY
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