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General NPI Number Information
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NPI Number | 1740654490
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Entity Type | Individual
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Provider Name | SARAH KAUFMAN
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Gender | Female
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 8240 NORTHCREEK DR
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City | CINCINNATI
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State | OH
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Zip | 45236-2377
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Country | US
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Telephone | 513-246-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6661 CLYO RD
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City | CENTERVILLE
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State | OH
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Zip | 45459-2702
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Country | US
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Telephone | 937-425-4000
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Fax | 937-425-4002
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50004458
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.004458RX
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License Number State | OH
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