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General NPI Number Information
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NPI Number | 1235227034
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Entity Type | Individual
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Provider Name | NIKKOL KRAMER ANDERSON O.T.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 912 RIORDAN RANCH ROAD
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City | FLAGSTAFF
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State | AZ
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Zip | 86011-3258
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Country | US
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Telephone | 928-380-8519
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Fax | 855-819-0087
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Provider Business Mailing Address
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Address Line | PO BOX 5630
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City | FLAGSTAFF
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State | AZ
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Zip | 86011-0165
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Country | US
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Telephone | 928-523-4628
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Fax | 855-819-0087
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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 | 2198
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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