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NPI 1043438351

NPI 1043438351 : GREGORY E KRAMER DDS & MICHAEL A GOYETTEDDS INC : MEDINA, OH

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General NPI Number Information
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    NPI Number           |    1043438351
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREGORY E KRAMER DDS & MICHAEL A GOYETTEDDS INC 
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Dates
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    Enumeration Date     |    04/23/2007
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    Last Update Date     |    06/16/2008
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Provider Practice Location Address
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    Address Line         |    3637 MEDINA RD STE 100 
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-8153
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    Country              |    US
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    Telephone            |    330-725-7022
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    Fax                  |    330-725-1037
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Provider Business Mailing Address
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    Address Line         |    3637 MEDINA RD STE 100 
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-8153
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    Country              |    US
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    Telephone            |    330-725-7022
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    Fax                  |    330-725-1037
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Authorized Official
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    Title or Position    |    TREATMENT COORDINATOR
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    Name                 |    MS. DANA L ECKE 
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    Credential           |    
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    Telephone            |    330-725-7022
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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       |    
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    License Number State |    
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