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General NPI Number Information
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NPI Number | 1578515011
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Entity Type | Individual
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Provider Name | JEFFREY I KAUFMAN OD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/16/2016
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Provider Practice Location Address
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Address Line | 1147 HWY 35
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2605
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Country | US
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Telephone | 732-671-7300
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Fax | 732-671-1605
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Provider Business Mailing Address
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Address Line | 255 HWY 35 NORTH
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City | EATONTOWN
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State | NJ
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Zip | 07724-2103
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Country | US
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Telephone | 732-389-6512
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Fax | 732-389-0585
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00281600
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License Number State | NJ
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