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General NPI Number Information
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NPI Number | 1710470646
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Entity Type | Individual
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Provider Name | ALICE KAUFMAN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 21 BELMONT AVE STE 1
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6762
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Country | US
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Telephone | 802-251-8455
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Fax | 802-251-8412
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Provider Business Mailing Address
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Address Line | 17 BELMONT AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-3498
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Country | US
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Telephone | 802-257-0341
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Fax | 802-257-8834
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 276026
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License Number State | MA
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