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General NPI Number Information
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NPI Number | 1619968005
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Entity Type | Organization
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Legal Business Name | KAUFMAN PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 1318 MOUNTAIN PARK PLACE
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City | ESCONDIDO
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State | CA
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Zip | 92027
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Country | US
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Telephone | 760-738-8811
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Fax | 760-738-8886
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Provider Business Mailing Address
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Address Line | PO BOX 268
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City | ESCONDIDO
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State | CA
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Zip | 92033-0268
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Country | US
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Telephone | 760-738-8811
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Fax | 760-738-8886
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Authorized Official
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Title or Position | CEO
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Name | MR. GERALD KAUFMAN
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Credential | MA PT
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Telephone | 760-738-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | EN8
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License Number State | CA
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