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General NPI Number Information
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NPI Number | 1740583186
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Entity Type | Organization
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Legal Business Name | HIGHLAND MEDICAL CENTER, PC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 2222 E HIGHLAND AVE SUITE 318
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City | PHOENIX
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State | AZ
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Zip | 85016-4872
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Country | US
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Telephone | 602-955-8844
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Fax | 602-955-3868
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Provider Business Mailing Address
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Address Line | 2222 E HIGHLAND AVE SUITE 318
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City | PHOENIX
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State | AZ
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Zip | 85016-4872
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Country | US
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Telephone | 602-955-8844
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Fax | 602-955-3868
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. LAWRENCE E KRAMER
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Credential | M.D.
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Telephone | 602-955-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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