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General NPI Number Information
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NPI Number | 1942896048
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Entity Type | Individual
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Provider Name | JENNIFER KAUFMAN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 104 W PIKE ST # 205
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City | COVINGTON
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State | KY
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Zip | 41011-2310
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Country | US
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Telephone | 859-493-2962
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Fax |
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Provider Business Mailing Address
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Address Line | 2485 AMBRATO WAY
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City | COVINGTON
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State | KY
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Zip | 41017-5147
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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 |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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