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General NPI Number Information
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NPI Number | 1396254512
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Entity Type | Organization
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Legal Business Name | KAUFMAN MOBILE HEALTH CARE, PLLC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 874 ED HALL DR STE 106
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City | KAUFMAN
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State | TX
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Zip | 75142-1800
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Country | US
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Telephone | 972-932-5270
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Fax | 972-932-5589
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Provider Business Mailing Address
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Address Line | 874 ED HALL DR STE 106
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City | KAUFMAN
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State | TX
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Zip | 75142-1800
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Country | US
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Telephone | 972-932-5270
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Fax | 972-932-5589
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Authorized Official
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Title or Position | OFFICE ASSISTANT
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Name | DONNA BIVEN
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Credential |
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Telephone | 214-215-3325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7094
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N7094
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License Number State | TX
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