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General NPI Number Information
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NPI Number | 1447314547
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Entity Type | Individual
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Provider Name | BETHANY A KRAMER PA
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD EBERLE 610
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 847-981-3630
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Fax | 847-981-3626
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Provider Business Mailing Address
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Address Line | 800 BIESTERFIELD RD EBERLE 610
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 847-981-3630
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Fax | 847-981-3626
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 085004620
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License Number State | IL
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