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General NPI Number Information
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NPI Number | 1912315797
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Entity Type | Organization
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Legal Business Name | ELIZABETH KAUFMAN THERAPY
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 8014 STATE LINE RD SUITE 112
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3723
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Country | US
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Telephone | 816-914-1340
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Fax |
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Provider Business Mailing Address
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Address Line | 707 EGRET ST
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City | RAYMORE
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State | MO
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Zip | 64083-9003
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Country | US
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Telephone | 816-914-1340
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MRS. ELIZABETH NICOLE KAUFMAN
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Credential | TLMFT
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Telephone | 816-914-1340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2575
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License Number State | KS
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