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General NPI Number Information
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NPI Number | 1861775017
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Entity Type | Individual
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Provider Name | STACY V KRAMER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 201 HIGHWAY 31 NW
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City | HARTSELLE
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State | AL
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Zip | 35640-4444
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Country | US
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Telephone | 256-773-4377
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 ROUNDTOP RD
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City | FALKVILLE
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State | AL
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Zip | 35622-5546
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Country | US
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Telephone | 256-784-5370
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15651
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License Number State | AL
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