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General NPI Number Information
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NPI Number | 1740724137
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Entity Type | Organization
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Legal Business Name | LISA KRAMER THERAPY LLC
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 833 N WACO AVE STE 200
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City | WICHITA
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State | KS
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Zip | 67203-3955
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Country | US
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Telephone | 316-263-2351
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Fax | 316-263-3685
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Provider Business Mailing Address
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Address Line | 833 N WACO AVE STE 200
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City | WICHITA
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State | KS
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Zip | 67203-3955
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Country | US
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Telephone | 316-263-2351
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Fax | 316-263-3685
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MS. LISA DAWN KRAMER
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Credential | LMSW
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Telephone | 316-871-7194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7073
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License Number State | KS
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