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General NPI Number Information
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NPI Number | 1093970758
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Entity Type | Individual
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Provider Name | SUSAN MARIE KRAMER M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 9900 CARVER RD SUITE # 101
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City | CINCINNATI
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State | OH
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Zip | 45242-5523
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Country | US
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Telephone | 859-653-2722
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ROSA CT
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City | COVINGTON
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State | KY
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Zip | 41011-3682
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Country | US
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Telephone | 859-653-2722
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35080335
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25762
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License Number State | KY
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