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General NPI Number Information
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NPI Number | 1881879559
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Entity Type | Organization
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Legal Business Name | JERALD N KRAMER DPM PC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 215 CLAIREMONT AVE
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City | DECATUR
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State | GA
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Zip | 30030-2505
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Country | US
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Telephone | 404-373-2529
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Fax | 404-373-1655
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Provider Business Mailing Address
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Address Line | 215 CLAIREMONT AVE
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City | DECATUR
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State | GA
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Zip | 30030-2505
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Country | US
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Telephone | 404-373-2529
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Fax | 404-373-1655
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JERALD N KRAMER
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Credential | DPM
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Telephone | 404-373-2529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 044-074
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License Number State | GA
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