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General NPI Number Information
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NPI Number | 1750877999
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Entity Type | Individual
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Provider Name | COURTNEY RAE KRAMER OTRL
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Gender | Female
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 1395 S HURON RD
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City | KAWKAWLIN
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State | MI
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Zip | 48631-9485
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Country | US
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Telephone | 989-684-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 305 THOMPSON ST
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City | ESSEXVILLE
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State | MI
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Zip | 48732-1161
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Country | US
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Telephone | 989-329-3101
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201008177
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License Number State | MI
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