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General NPI Number Information
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NPI Number | 1821889098
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Entity Type | Organization
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Legal Business Name | DAVID KUPPERMANN MD INC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E STE 1407
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City | LOS ANGELES
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State | CA
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Zip | 90067-2017
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Country | US
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Telephone | 310-277-2929
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Fax | 310-277-2924
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Provider Business Mailing Address
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Address Line | PO BOX 35025
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City | LOS ANGELES
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State | CA
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Zip | 90035-0025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID KUPPERMANN
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Credential | MD
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Telephone | 347-327-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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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 | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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