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General NPI Number Information
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NPI Number | 1891205407
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Entity Type | Individual
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Provider Name | ALISON KRAMER
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 712 ELMWOOD AVE RM 1612
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City | OSHKOSH
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State | WI
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Zip | 54901-3517
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Country | US
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Telephone | 608-445-8876
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Fax |
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Provider Business Mailing Address
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Address Line | W10803 COUNTY ROAD V
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City | POYNETTE
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State | WI
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Zip | 53955-9481
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Country | US
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Telephone | 608-445-8876
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | K656-0139-7965-05
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License Number State | WI
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