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General NPI Number Information
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NPI Number | 1275018483
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Entity Type | Individual
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Provider Name | SCOTT KRAMER
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Gender | Male
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 49 KESSEL CT
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City | MADISON
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State | WI
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Zip | 53711-6200
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Country | US
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Telephone | 608-280-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 4212 35TH AVE W APT A102
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City | SEATTLE
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State | WA
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Zip | 98199-1360
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Country | US
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Telephone | 815-690-3998
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 19320-130
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 60513129
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4828-226
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License Number State | WI
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