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General NPI Number Information
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NPI Number | 1528659331
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Entity Type | Individual
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Provider Name | EMILY AMBER KRAMER DH
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 570 RIVERSTONE WAY STE 1
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City | FAIRBANKS
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State | AK
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Zip | 99709-2940
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Country | US
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Telephone | 907-455-4350
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Fax |
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Provider Business Mailing Address
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Address Line | 1416 DOGWOOD ST APT 4
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City | FORT WAINWRIGHT
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State | AK
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Zip | 99703-1391
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Country | US
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Telephone | 863-398-4139
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 163900
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH23986
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License Number State | FL
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