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General NPI Number Information
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NPI Number | 1073278859
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Entity Type | Individual
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Provider Name | CODY MICHAEL KRAMER PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 1450 SW VINTAGE PKWY
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City | ANKENY
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State | IA
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Zip | 50023-7165
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Country | US
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Telephone | 515-416-8600
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Fax | 515-416-8601
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Provider Business Mailing Address
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Address Line | 1450 SW VINTAGE PKWY
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City | ANKENY
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State | IA
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Zip | 50023-7165
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Country | US
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Telephone | 515-416-8600
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Fax | 515-416-8601
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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 | 15598
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 115369
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License Number State | IA
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