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General NPI Number Information
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NPI Number | 1902263452
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Entity Type | Organization
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Legal Business Name | EXTENDED CARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 705 E BIDWELL ST SUITE 2-366
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City | FOLSOM
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State | CA
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Zip | 95630-3315
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Country | US
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Telephone | 717-317-7535
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Fax | 916-318-6950
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Provider Business Mailing Address
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Address Line | 705 E BIDWELL ST SUITE 2-366
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City | FOLSOM
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State | CA
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Zip | 95630-3315
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Country | US
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Telephone | 717-317-7535
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Fax | 916-318-6950
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM F KRAMER
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Credential | D.O.
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Telephone | 717-364-0954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95002266
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 13886
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License Number State | CA
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