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General NPI Number Information
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NPI Number | 1649253121
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Entity Type | Individual
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Provider Name | RICHARD L. KAUFMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 955 FRONT ST
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City | UNIONDALE
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State | NY
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Zip | 11553-1642
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Country | US
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Telephone | 516-481-1177
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Fax | 516-485-6926
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Provider Business Mailing Address
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Address Line | 955 FRONT ST
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City | UNIONDALE
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State | NY
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Zip | 11553-1642
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Country | US
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Telephone | 516-481-1177
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Fax | 516-485-6926
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 034858
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License Number State | NY
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