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General NPI Number Information
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NPI Number | 1700018397
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Entity Type | Individual
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Provider Name | JENNIFER L CRAMER NP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 480 RED HILL RD.
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City | MIDDLETOWN
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State | NJ
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Zip | 07748
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Country | US
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Telephone | 201-240-8456
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Fax |
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Provider Business Mailing Address
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Address Line | 124 DANIELE DR.
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City | OCEAN
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State | NJ
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Zip | 07712
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Country | US
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Telephone | 201-240-8456
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 430458
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 430458
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00683800
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License Number State | NJ
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