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General NPI Number Information
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NPI Number | 1750006508
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Entity Type | Individual
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Provider Name | CLARE KRAMER
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 1030 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60610-5467
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Country | US
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Telephone | 312-900-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 N 3RD ST
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City | CLINTON
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State | IA
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Zip | 52732-5242
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070026958
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License Number State | IL
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