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General NPI Number Information
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NPI Number | 1083649834
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Entity Type | Individual
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Provider Name | KENNETH KRAMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 S 21ST ST DEPARTMENT OF RADIOLOGY
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City | EASTON
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State | PA
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Zip | 18042-3851
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Country | US
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Telephone | 610-250-4592
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Fax | 610-923-8160
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Provider Business Mailing Address
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Address Line | PO BOX 3478
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City | WESCOSVILLE
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State | PA
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Zip | 18106-0478
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Country | US
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Telephone | 610-398-8141
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Fax | 610-366-7241
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD017742E
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License Number State | PA
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