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General NPI Number Information
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NPI Number | 1356840631
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Entity Type | Organization
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Legal Business Name | KRAMER - U, LLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/23/2018
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Provider Practice Location Address
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Address Line | 701 E BRIDGER AVE STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89101-5557
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Country | US
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Telephone | 702-580-4196
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Fax | 702-924-4423
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Provider Business Mailing Address
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Address Line | 845 PERUMEAN LN
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City | YERINGTON
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State | NV
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Zip | 89447-2361
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Country | US
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Telephone | 775-722-5621
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Fax | 775-463-4032
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DEBBIE K RIFE
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Credential |
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Telephone | 775-722-5621
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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 | NV20171758514
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License Number State | NV
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