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General NPI Number Information
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NPI Number | 1013321017
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH KRAMER DDS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 1400 BAKER PARK RD SUITE 1040
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City | MAPLE PLAIN
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State | MN
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Zip | 55359-9851
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Country | US
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Telephone | 763-402-7003
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Fax | 763-447-3208
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Provider Business Mailing Address
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Address Line | 1400 BAKER PARK RD SUITE 1040
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City | MAPLE PLAIN
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State | MN
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Zip | 55359-9851
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Country | US
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Telephone | 763-402-7003
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Fax | 763-447-3208
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D13426
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7144
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License Number State | NE
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