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General NPI Number Information
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NPI Number | 1740872514
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Entity Type | Individual
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Provider Name | ERIN MARIE KRAMER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 13861 MANCHESTER RD
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City | BALLWIN
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State | MO
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Zip | 63011-4503
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Country | US
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Telephone | 636-556-0114
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Fax | 314-270-3694
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Provider Business Mailing Address
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Address Line | 3345 GALT HOUSE DR
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City | SAINT CHARLES
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State | MO
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Zip | 63301-8112
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Country | US
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Telephone | 314-306-9133
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020009264
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2011021137
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License Number State | MO
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