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General NPI Number Information
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NPI Number | 1790239770
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Entity Type | Individual
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Provider Name | JESSICA KRAMER
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Gender | Female
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3959 LAUREL CANYON BLVD STE F
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City | STUDIO CITY
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State | CA
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Zip | 91604-3711
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Country | US
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Telephone | 818-505-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 COLDWATER CANYON AVE APT 208
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City | STUDIO CITY
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State | CA
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Zip | 91604-1938
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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