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General NPI Number Information
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NPI Number | 1306281647
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Entity Type | Individual
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Provider Name | JILL LAURA KRAMER LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 2727 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-3541
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Country | US
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Telephone | 317-975-0985
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Fax |
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Provider Business Mailing Address
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Address Line | 16801 LAKEVILLE XING
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City | WESTFIELD
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State | IN
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Zip | 46074-8210
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Country | US
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Telephone | 206-939-0126
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60625096
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39004031A
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License Number State | IN
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