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General NPI Number Information
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NPI Number | 1043315518
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Entity Type | Individual
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Provider Name | JERI LEE KRAMER PSYD, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 4249 E SAHUARO DR
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City | PHOENIX
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State | AZ
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Zip | 85028-3522
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Country | US
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Telephone | 602-690-7763
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Fax | 602-680-3055
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Provider Business Mailing Address
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Address Line | 4249 E SAHUARO DR
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City | PHOENIX
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State | AZ
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Zip | 85028-3522
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Country | US
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Telephone | 602-690-7763
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Fax | 602-680-3055
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-11783
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License Number State | AZ
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