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General NPI Number Information
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NPI Number | 1457566432
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Entity Type | Individual
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Provider Name | LISA MARIE KRAMMER NP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 251 E HURON ST 16TH FLOOR FEINBERG PAVILLION
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-927-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 8110 W 125TH ST
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City | PALOS PARK
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State | IL
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Zip | 60464-1927
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Country | US
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Telephone | 708-448-4889
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | IL
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