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General NPI Number Information
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NPI Number | 1992938567
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Entity Type | Individual
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Provider Name | KRISTOPHER DANIEL KAUFMAN PT, MSPT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 525 ALEXANDRIA PIKE
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City | SOUTHGATE
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State | KY
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Zip | 41071
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Country | US
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Telephone | 859-572-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2652 TURKEYFOOT ROAD
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City | LAKESIDE PARK
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State | KY
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Zip | 41017
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Country | US
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Telephone | 859-760-1619
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 005128
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License Number State | KY
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