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General NPI Number Information
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NPI Number | 1275700452
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Entity Type | Organization
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Legal Business Name | MOLLY M. KRAMER M.D.,P.C.
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 104 MAPLE DRIVE
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City | VIDALIA
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State | GA
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Zip | 30474-1144
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Country | US
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Telephone | 912-537-8099
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Fax | 912-537-3828
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Provider Business Mailing Address
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Address Line | PO BOX 1144
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City | VIDALIA
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State | GA
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Zip | 30475-1144
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Country | US
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Telephone | 912-537-8099
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Fax | 912-537-3828
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MOLLY MCQUIGG KRAMER
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Credential | M.D.
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Telephone | 912-537-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 047472
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License Number State | GA
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