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General NPI Number Information
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NPI Number | 1841439643
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Entity Type | Organization
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Legal Business Name | KRAMER CENTER AT NEWPORT BEACH
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 3388 VIA LIDO 5TH FLOOR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3979
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Country | US
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Telephone | 949-309-9598
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Fax | 949-566-9108
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Provider Business Mailing Address
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Address Line | 26895 ALISO CREEK RD # B309
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City | ALISO VIEJO
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State | CA
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Zip | 92656-5301
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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 | PRESIDENT
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Name | TODD KRAMER
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Credential |
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Telephone | 949-309-9598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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