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General NPI Number Information
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NPI Number | 1689213696
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Entity Type | Organization
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Legal Business Name | CAROL KRAMER
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 302 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6114
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Country | US
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Telephone | 646-337-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 302 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6114
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Country | US
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Telephone | 646-337-6464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROL JUDY KRAMER
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Credential |
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Telephone | 646-337-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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