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General NPI Number Information
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NPI Number | 1497990196
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Entity Type | Organization
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Legal Business Name | CHRISTEN L. KAUFFMAN D.D.S., P.A.
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 1018 AIRPORT RD SUITE 108
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City | HOT SPRINGS
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State | AR
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Zip | 71913-4621
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Country | US
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Telephone | 501-767-7633
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 AIRPORT RD SUITE 108
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City | HOT SPRINGS
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State | AR
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Zip | 71913-4621
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Country | US
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Telephone | 501-767-7633
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTEN L. KAUFFMAN
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Credential | D.D.S.
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Telephone | 501-767-7633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3066
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License Number State | AR
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