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General NPI Number Information
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NPI Number | 1023285590
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Entity Type | Individual
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Provider Name | LAURIE KRAEMER MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 1007 S ANN BLVD
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-1254
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Country | US
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Telephone | 254-699-2090
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Fax | 254-699-7239
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | BELTON
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State | TX
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Zip | 76513-0028
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Country | US
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Telephone | 254-770-2410
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Fax | 254-770-2424
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 103364
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License Number State | TX
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