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General NPI Number Information
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NPI Number | 1518941996
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Entity Type | Individual
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Provider Name | DR. JAMIE KOUFMAN
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 200 W 57TH ST SUITE 1203
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City | NEW YORK
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State | NY
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Zip | 10019-3211
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Country | US
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Telephone | 212-463-8014
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Fax | 212-757-0677
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Provider Business Mailing Address
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Address Line | 200 WEST 57TH STREET, SUITE 1203
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-463-8014
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Fax | 212-757-0677
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 22759
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 2401221
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 22759
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License Number State | NC
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