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General NPI Number Information
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NPI Number | 1689992869
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Entity Type | Individual
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Provider Name | PATRICIA ANN KRAMER M.A., ED.S
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 1022 HAMBURG TPKE WAYNE COUNSELING CENTER AND FAMILY SERVICES
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City | WAYNE
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State | NJ
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Zip | 07470-3209
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Country | US
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Telephone | 973-694-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 117 WHITTLE AVE
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-4524
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Country | US
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Telephone | 973-771-0154
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37F100164900
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License Number State | NJ
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