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General NPI Number Information
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NPI Number | 1174221279
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Entity Type | Individual
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Provider Name | ELAINE CRAMER NP
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Gender | Female
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Dates
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Enumeration Date | 02/17/2023
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 10 CONGRESS ST STE 200
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City | PASADENA
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State | CA
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Zip | 91105-3023
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Country | US
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Telephone | 424-314-0190
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Fax | 424-314-0193
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Provider Business Mailing Address
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Address Line | 4140 W 190TH ST LOS ANGLES
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City | TORRANCE
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State | CA
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Zip | 90504-5513
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Country | US
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Telephone | 424-314-0190
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Fax | 424-314-0193
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95283249
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95024346
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License Number State | CA
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