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General NPI Number Information
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NPI Number | 1134548332
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Entity Type | Organization
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Legal Business Name | BUFFY CRAMER-HAMMANN PC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 333 N RANDALL RD SUITE 11
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City | ST CHARLES
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State | IL
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Zip | 60174-1573
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Country | US
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Telephone | 630-464-5824
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Fax | 847-628-9567
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Provider Business Mailing Address
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Address Line | 333 N RANDALL RD SUITE 11
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City | ST CHARLES
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State | IL
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Zip | 60174-1573
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Country | US
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Telephone | 630-464-5824
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Fax | 847-628-9567
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BUFFY JEAN CRAMER-HAMMANN
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Credential | PSY.D.
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Telephone | 630-841-7658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071006448
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License Number State | IL
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