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General NPI Number Information
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NPI Number | 1134241680
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Entity Type | Individual
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Provider Name | ANN PULTZ KRAMER M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13800 HEACOCK ST STE C212
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City | MORENO VALLEY
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State | CA
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Zip | 92553-6266
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Country | US
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Telephone | 951-653-4001
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Fax | 951-653-4009
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Provider Business Mailing Address
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Address Line | 11455 SUMMER GREEN CT
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City | MORENO VALLEY
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State | CA
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Zip | 92557-8314
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Country | US
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Telephone | 951-781-9080
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Fax | 951-653-4009
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC25106
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License Number State | CA
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