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General NPI Number Information
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NPI Number | 1497568844
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Entity Type | Individual
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Provider Name | EMMA KAUFMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 209 MAIN AVE S STE 115
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City | NORTH BEND
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State | WA
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Zip | 98045-8139
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Country | US
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Telephone | 425-831-0777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2810
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City | NORTH BEND
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State | WA
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Zip | 98045-2810
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.PA.61628931
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License Number State | WA
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