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General NPI Number Information
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NPI Number | 1154557700
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Entity Type | Organization
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Legal Business Name | KRAMER CHIROPRACITIC WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 317 1ST ST S
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City | MONTGOMERY
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State | MN
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Zip | 56069-1603
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Country | US
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Telephone | 507-364-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 317 1ST ST S
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City | MONTGOMERY
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State | MN
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Zip | 56069-1603
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Country | US
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Telephone | 507-364-7500
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. STEPHEN P KRAMER
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Credential | D.C.
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Telephone | 507-364-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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