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General NPI Number Information
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NPI Number | 1124296066
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Entity Type | Organization
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Legal Business Name | MALCOLM F. KRAMER,DPM,PA
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 681 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5229
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Country | US
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Telephone | 732-364-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 681 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5229
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Country | US
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Telephone | 732-364-5522
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Fax |
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Authorized Official
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Title or Position | PODIATRY
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Name | DR. MALCOLM FRANK KRAMER
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Credential | DPM
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Telephone | 732-364-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00098300
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License Number State | NJ
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