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General NPI Number Information
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NPI Number | 1720262652
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Entity Type | Individual
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Provider Name | DIANA L KAUFMAN APN
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 200 E FAIRMAN AVE
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City | WATSEKA
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State | IL
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Zip | 60970-1644
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Country | US
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Telephone | 815-432-5411
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Fax |
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Provider Business Mailing Address
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Address Line | 2839 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-2876
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Country | US
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Telephone | 505-226-0001
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Fax | 855-618-2297
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209006925
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP-03374
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License Number State | NM
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