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General NPI Number Information
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NPI Number | 1871978015
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Entity Type | Individual
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Provider Name | MICHELLE CRAMER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 1417 WASHINGTON AVE STE 2
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City | ALTON
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State | IL
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Zip | 62002-3970
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Country | US
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Telephone | 618-462-7900
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Fax | 618-462-0179
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Provider Business Mailing Address
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Address Line | 1417 WASHINGTON AVE STE 2
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City | ALTON
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State | IL
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Zip | 62002-3970
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 147.001335
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License Number State | IL
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