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General NPI Number Information
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NPI Number | 1316478415
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Entity Type | Individual
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Provider Name | DANIEL CRAMER I M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 1986 COSTA DEL SOL
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City | PISMO BEACH
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State | CA
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Zip | 93449-3310
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Country | US
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Telephone | 530-448-3479
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT LA LOCKBOX #24757
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City | PASADENA
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State | CA
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Zip | 91185-4690
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Country | US
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Telephone | 833-349-8309
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125.070087
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A172498
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License Number State | CA
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