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General NPI Number Information
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NPI Number | 1437529955
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Entity Type | Organization
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Legal Business Name | SUSAN I KAUFMAN DO PC
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 12/06/2015
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Provider Practice Location Address
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Address Line | 1930 STATE HWY 70 E SUITE S-93, EXECUTIVE MEWS
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-424-8091
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Fax | 856-424-0704
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Provider Business Mailing Address
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Address Line | 1930 STATE HWY 70 E SUITE S93 EXECUTIVE MEWS
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-424-8091
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Fax | 856-424-0704
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SUSAN I KAUFMAN
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Credential | DO
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Telephone | 856-424-8091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MB54186
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License Number State | NJ
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