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General NPI Number Information
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NPI Number | 1710309588
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Entity Type | Individual
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Provider Name | KATHRYN GRAMLICH NP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 3211 W REDDY WAY
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4066
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Country | US
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Telephone | 812-825-0777
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Fax | 812-331-3311
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Provider Business Mailing Address
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Address Line | 3211 W REDDY WAY
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4066
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Country | US
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Telephone | 812-825-0777
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Fax | 812-331-3311
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 28211746A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71004782A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71004782
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License Number State | IN
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