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General NPI Number Information
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NPI Number | 1447201256
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Entity Type | Individual
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Provider Name | ERICK ROMAN KAUFFMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 2358 PROFESSOR AVE
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City | CLEVELAND
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State | OH
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Zip | 44113-4630
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Country | US
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Telephone | 216-334-2800
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Fax | 216-589-0017
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Provider Business Mailing Address
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Address Line | 2981 BERKSHIRE RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-2474
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Country | US
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Telephone | 216-321-9548
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Fax | 216-901-9958
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35078036K
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00037575
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License Number State | WA
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