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General NPI Number Information
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NPI Number | 1487192274
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Entity Type | Individual
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Provider Name | CRAIG ALLAN CRAMER HAS TRAINEE
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Gender | Male
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 335 S PLUMOSA ST STE D
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3567
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Country | US
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Telephone | 321-453-7800
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Fax | 321-453-7801
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Provider Business Mailing Address
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Address Line | 1751 BLUE RIDGE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-5826
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Country | US
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Telephone | 407-601-5798
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Fax | 407-286-3186
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AST619
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License Number State | FL
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