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General NPI Number Information
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NPI Number | 1457699704
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Entity Type | Organization
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Legal Business Name | DJH KAUFFMANN MD PC
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 1 STONE PL
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-337-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 1 STONE PL
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-337-3524
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND SOLE PROPIETOR
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Name | DR. DAN H - K JOKL
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Credential | MD
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Telephone | 914-337-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 114324
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License Number State | NY
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