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General NPI Number Information
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NPI Number | 1477510535
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Entity Type | Individual
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Provider Name | HENRY JOSEPH KAUFMAN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 600 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2043
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Country | US
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Telephone | 800-893-9698
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Fax |
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Provider Business Mailing Address
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Address Line | 4724 WHITEHAVEN ST
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City | BATON ROUGE
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State | LA
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Zip | 70808-3878
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 011444
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 011444
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License Number State | LA
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