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General NPI Number Information
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NPI Number | 1902028608
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Entity Type | Individual
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Provider Name | MICHAEL A KAUFMAN L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 205 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5116
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Country | US
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Telephone | 434-977-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 5910 WELBORN DR
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City | BETHESDA
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State | MD
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Zip | 20816-3424
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Country | US
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Telephone | 301-229-7678
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701001183
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License Number State | VA
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