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General NPI Number Information
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NPI Number | 1740103761
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Entity Type | Individual
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Provider Name | NATHAN R KREAMER
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Gender |
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 616 E 13TH ST
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City | WINAMAC
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State | IN
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Zip | 46996-1117
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Country | US
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Telephone | 574-946-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S STATE ROAD 17
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City | KEWANNA
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State | IN
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Zip | 46939-9515
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Country | US
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Telephone | 574-242-0758
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1613760
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License Number State | IN
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