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General NPI Number Information
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NPI Number | 1518518653
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Entity Type | Individual
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Provider Name | DEBORAH A KRAMER DPT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 506 KENNY RD # 100
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City | SAINT PAUL
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State | MN
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Zip | 55130-4555
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Country | US
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Telephone | 651-207-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 11810 HAMLET ST N
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-6188
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Country | US
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Telephone | 651-357-6728
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11278
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License Number State | MN
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