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General NPI Number Information
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NPI Number | 1912031055
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Entity Type | Organization
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Legal Business Name | THE KAUFMANN CLINIC, INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE STE 1700
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City | ATLANTA
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State | GA
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Zip | 30308-2262
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Country | US
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Telephone | 404-881-9727
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Fax | 404-881-0727
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Provider Business Mailing Address
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Address Line | 900 TOWNE LAKE PKWY STE 300
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City | WOODSTOCK
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State | GA
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Zip | 30189-1604
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Country | US
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Telephone | 770-874-2765
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Fax | 678-766-1914
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT S KAUFMANN
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Credential | M.D.
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Telephone | 404-881-9727
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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 | 030115
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License Number State | GA
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