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General NPI Number Information
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NPI Number | 1184035966
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Entity Type | Organization
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Legal Business Name | BARRYKRAMERMDPC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 125 AWIXA AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-8831
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Country | US
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Telephone | 516-835-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 125 AWIXA AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-8831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BARRY WISCHER KRAMER
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Credential | MD
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Telephone | 516-835-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 113990
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License Number State | NY
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