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NPI 1609194612

NPI 1609194612 : JOHN D KAUFMAN M D INC : VALENCIA, CA

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General NPI Number Information
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    NPI Number           |    1609194612
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN D KAUFMAN M D INC 
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Dates
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    Enumeration Date     |    05/14/2010
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    Last Update Date     |    09/06/2019
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Provider Practice Location Address
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    Address Line         |    23861 MCBEAN PARKWAY SUITE E30
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    City                 |    VALENCIA
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    State                |    CA
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    Zip                  |    91355-2077
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    Country              |    US
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    Telephone            |    661-259-3412
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    Fax                  |    661-259-7384
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Provider Business Mailing Address
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    Address Line         |    23861 MCBEAN PARKWAY SUITE E30
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    City                 |    VALENCIA
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    State                |    CA
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    Zip                  |    91355-2077
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    Country              |    US
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    Telephone            |    661-259-3412
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    Fax                  |    661-259-7384
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     LISA  GILMORE 
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    Credential           |    
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    Telephone            |    661-259-3412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    C35644
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    License Number State |    CA
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