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General NPI Number Information
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NPI Number | 1629092234
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Entity Type | Organization
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Legal Business Name | DAVID KRAMER MD
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 870 FISHERMAN ST
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City | OPA LOCKA
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State | FL
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Zip | 33054-3509
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Country | US
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Telephone | 305-688-2519
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Fax | 305-688-2785
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Provider Business Mailing Address
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Address Line | 870 FISHERMAN STREET
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City | OPA-LOCKA
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State | FL
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Zip | 33054
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Country | US
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Telephone | 305-688-2519
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Fax | 305-688-2785
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DEBORAH JOHNSON
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Credential |
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Telephone | 305-688-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | ME0007088
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License Number State | FL
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