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General NPI Number Information
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NPI Number | 1154368421
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Entity Type | Individual
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Provider Name | NATALIA Y. KRAMAREVSKY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 1217 8TH ST N
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City | NEW ULM
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State | MN
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Zip | 56073-1552
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Country | US
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Telephone | 507-217-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 612-262-5000
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101243465
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101243465
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 46026
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 60315136
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License Number State | WA
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