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General NPI Number Information
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NPI Number | 1184793119
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Entity Type | Individual
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Provider Name | EILEEN M KRAMER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 24681 LA PLZ STE 370
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City | DANA POINT
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State | CA
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Zip | 92629-2568
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Country | US
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Telephone | 949-899-5790
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Fax | 224-365-3488
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Provider Business Mailing Address
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Address Line | 24681 LA PLAZA SUITE 370
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92629-2568
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Country | US
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Telephone | 949-813-8180
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Fax | 224-365-3488
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY25548
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License Number State | CA
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