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General NPI Number Information
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NPI Number | 1326426776
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Entity Type | Organization
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Legal Business Name | DAVID M KRAMER DDS
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 530 PERINTON HLS
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City | FAIRPORT
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State | NY
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Zip | 14450-3611
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Country | US
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Telephone | 585-223-1980
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Fax | 585-223-1295
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Provider Business Mailing Address
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Address Line | 530 PERINTON HLS
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City | FAIRPORT
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State | NY
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Zip | 14450-3611
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Country | US
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Telephone | 585-223-1980
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Fax | 585-223-1295
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID KRAMER
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Credential |
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Telephone | 585-223-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 039497
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License Number State | NY
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