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General NPI Number Information
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NPI Number | 1558724690
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Entity Type | Individual
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Provider Name | CHERYL STONER KRAMER MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 105 N GROVE ST
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3441
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Country | US
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Telephone | 321-459-1313
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Fax | 321-459-9494
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Provider Business Mailing Address
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Address Line | 129 VIA HAVARRE
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-2924
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Country | US
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Telephone | 321-987-8615
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Fax | 321-459-2465
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA3200
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License Number State | FL
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