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General NPI Number Information
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NPI Number | 1588284129
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Entity Type | Individual
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Provider Name | SHENAE KRAMER PTA
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Gender | Female
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 4121 KING RD
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City | SYLVANIA
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State | OH
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Zip | 43560-4438
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Country | US
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Telephone | 419-871-9083
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Fax |
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Provider Business Mailing Address
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Address Line | 6945 ANGOLA RD
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City | HOLLAND
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State | OH
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Zip | 43528-8558
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Country | US
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Telephone | 419-231-1682
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PTA011744
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License Number State | OH
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