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General NPI Number Information
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NPI Number | 1841909082
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Entity Type | Organization
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Legal Business Name | SHMUEL KAUFMAN R.P.A. SERVICES PLLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 1129 E 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-4813
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Country | US
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Telephone | 347-325-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 E 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-4813
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Country | US
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Telephone | 347-325-0020
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SHMUEL KAUFMAN
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Credential | PA-C
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Telephone | 347-325-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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