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General NPI Number Information
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NPI Number | 1508935339
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Entity Type | Individual
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Provider Name | ESTHER KOFMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6753 STATE RD
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City | PARMA
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State | OH
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Zip | 44134
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Country | US
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Telephone | 440-843-5565
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Fax | 440-843-5626
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Provider Business Mailing Address
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Address Line | 2634 BETTERWING RD
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City | PEPPER PIKE
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State | OH
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Zip | 44124
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Country | US
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Telephone | 216-765-0577
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Fax | 440-843-5626
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35040380
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License Number State | OH
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